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 B09M000268›WENDY NGUYEN

WENDY NGUYEN

Dependent on policy B09M000268

Claims
1
Attributed to this person
Charged
223.00
Total submitted
Denied
223.00
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
NameWENDY NGUYEN
Role on the policyDependent · relationship 01
PolicyB09M000268
Date of birth8 Jan 1989
PlanGOLD PPO
Covered from2 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000111610 Feb 2026223.00CASCADE CARECARC 27 · ELIGIBILITY223.00