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 B09M000352›NADIA REYES

NADIA REYES

Subscriber on policy B09M000352

Claims
3
Attributed to this person
Charged
1,330.00
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
NameNADIA REYES
Role on the policySubscriber
PolicyB09M000352
Date of birth9 Oct 1956
PlanPLATINUM PPO
Covered from14 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00014484 Jan 2026248.00NORTHSTAR MUTUALNot denied—
CLM000145016 Oct 2025601.00NORTHSTAR MUTUALNot denied—
CLM000144923 Mar 2024481.00NORTHSTAR MUTUALNot denied—