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 B09M000114›OMAR QUINN

OMAR QUINN

Subscriber on policy B09M000114

Claims
3
Attributed to this person
Charged
2,080.00
Total submitted
Denied
980.73
2 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
NameOMAR QUINN
Role on the policySubscriber
PolicyB09M000114
Date of birth28 Dec 1963
PlanSILVER HMO
Covered from20 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00004677 May 2026511.00CASCADE CARECARC 16 · BILLING_ERROR251.73
CLM00004657 Feb 2026729.00CASCADE CARECARC 16 · BILLING_ERROR729.00
CLM000046617 Jun 2025840.00CASCADE CARENot denied—