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 B08M000815›ELENA YAMADA

ELENA YAMADA

Dependent on policy B08M000815

Claims
1
Attributed to this person
Charged
96.00
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
NameELENA YAMADA
Role on the policyDependent · relationship 01
PolicyB08M000815
Date of birth2 Aug 1961
PlanBRONZE EPO
Covered from25 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000364827 Jul 202696.00CASCADE CARENot denied—