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 B08M000796›LEILA NGUYEN

LEILA NGUYEN

Dependent on policy B08M000796

Claims
1
Attributed to this person
Charged
811.00
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
NameLEILA NGUYEN
Role on the policyDependent · relationship 19
PolicyB08M000796
Date of birth7 Jun 2007
PlanBRONZE EPO
Covered from12 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000355621 Aug 2026811.00CASCADE CARENot denied—