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 B09M000379›AMARA MURPHY

AMARA MURPHY

Subscriber on policy B09M000379

Claims
3
Attributed to this person
Charged
1,989.00
Total submitted
Denied
843.00
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
NameAMARA MURPHY
Role on the policySubscriber
PolicyB09M000379
Date of birth29 Apr 1988
PlanGOLD PPO
Covered from9 Mar 2025
Covered to14 May 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00015716 Jun 2025843.00NORTHSTAR MUTUALCARC 26 · ELIGIBILITY843.00
CLM00015705 Apr 2025882.00NORTHSTAR MUTUALNot denied—
CLM000156914 Mar 2025264.00NORTHSTAR MUTUALNot denied—