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 B01M000509›MARCUS NGUYEN

MARCUS NGUYEN

Subscriber on policy B01M000509

Claims
2
Attributed to this person
Charged
1,267.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
112.40
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
NameMARCUS NGUYEN
Role on the policySubscriber
PolicyB01M000509
Date of birth4 Sep 1983
PlanBRONZE EPO
Covered from29 May 2025
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 2 · Coinsurance1112.40
Total112.40

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000228414 Jul 2026705.00CASCADE CARENot denied—
CLM00022837 Mar 2026562.00CASCADE CARENot denied—