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 B08M000626›MARCUS WILSON

MARCUS WILSON

Dependent on policy B08M000626

Claims
2
Attributed to this person
Charged
767.00
Total submitted
Denied
555.00
1 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 WILSON
Role on the policyDependent · relationship 01
PolicyB08M000626
Date of birth16 Mar 1978
PlanPLATINUM PPO
Covered from28 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000284720 Mar 2026212.00CASCADE CARENot denied—
CLM000284822 Oct 2024555.00CASCADE CARECARC 26 · ELIGIBILITY555.00