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 B08M000756›YUSUF BAKER

YUSUF BAKER

Dependent on policy B08M000756

Claims
3
Attributed to this person
Charged
946.00
Total submitted
Denied
445.00
2 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
NameYUSUF BAKER
Role on the policyDependent · relationship 01
PolicyB08M000756
Date of birth21 May 1948
PlanBRONZE EPO
Covered from7 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00033718 Jun 2025501.00CASCADE CARENot denied—
CLM000337222 Sep 2024382.00CASCADE CARECARC 16 · BILLING_ERROR382.00
CLM00033709 Jun 202463.00CASCADE CARECARC 29 · TIMELY_FILING63.00