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 B01M000519›JULIA DIAZ

JULIA DIAZ

Dependent on policy B01M000519

Claims
2
Attributed to this person
Charged
1,251.00
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
NameJULIA DIAZ
Role on the policyDependent · relationship 01
PolicyB01M000519
Date of birth15 Jan 1954
PlanSILVER HMO
Covered from25 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00023422 Aug 2026502.00CASCADE CARENot denied—
CLM000234317 Dec 2025749.00CASCADE CARENot denied—