DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B08M000519›MARCUS USMAN

MARCUS USMAN

Dependent on policy B08M000519

Claims
1
Attributed to this person
Charged
183.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
0.00
Reported on the 835

Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.

Who this is

FieldValue
NameMARCUS USMAN
Role on the policyDependent · relationship 01
PolicyB08M000519
Date of birth20 Jul 1963
PlanSILVER HMO
Covered from2 Mar 2025
Covered to8 Sep 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000236931 Jan 2025183.00CASCADE CARENot denied—