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 B09M000554›FIONA QUINN

FIONA QUINN

Subscriber on policy B09M000554

Claims
2
Attributed to this person
Charged
1,006.00
Total submitted
Denied
824.00
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
NameFIONA QUINN
Role on the policySubscriber
PolicyB09M000554
Date of birth6 Feb 2001
PlanSILVER HMO
Covered from17 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00023375 Jul 2026824.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY824.00
CLM000233622 Apr 2025182.00NORTHSTAR MUTUALNot denied—