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 B09M000238›ZARA BAKER

ZARA BAKER

Subscriber on policy B09M000238

Claims
2
Attributed to this person
Charged
1,731.00
Total submitted
Denied
1,240.17
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
NameZARA BAKER
Role on the policySubscriber
PolicyB09M000238
Date of birth28 Oct 1959
PlanPLATINUM PPO
Covered from24 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000097211 Apr 2026841.00CASCADE CARECARC 27 · ELIGIBILITY350.17
CLM00009737 Mar 2026890.00CASCADE CARECARC 197 · AUTHORIZATION890.00