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 B09M000687›NADIA MURPHY

NADIA MURPHY

Dependent on policy B09M000687

Claims
3
Attributed to this person
Charged
1,467.00
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 MURPHY
Role on the policyDependent · relationship 19
PolicyB09M000687
Date of birth19 Dec 2010
PlanBRONZE EPO
Covered from12 May 2024
Covered to26 Dec 2024

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00029339 Nov 2024117.00NORTHSTAR MUTUALNot denied—
CLM000293225 Aug 2024780.00NORTHSTAR MUTUALNot denied—
CLM00029312 Jul 2024570.00NORTHSTAR MUTUALNot denied—