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 B09M000055›IVAN HUGHES

IVAN HUGHES

Subscriber on policy B09M000055

Claims
3
Attributed to this person
Charged
1,327.00
Total submitted
Denied
413.00
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
NameIVAN HUGHES
Role on the policySubscriber
PolicyB09M000055
Date of birth23 Jan 1982
PlanPLATINUM PPO
Covered from8 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000024920 May 2026780.00CASCADE CARENot denied—
CLM000025115 Feb 2025413.00CASCADE CARECARC 11 · CODING413.00
CLM000025024 Jul 2024134.00CASCADE CARENot denied—