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 B09M000331›MARCUS DIAZ

MARCUS DIAZ

Dependent on policy B09M000331

Claims
2
Attributed to this person
Charged
996.00
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
NameMARCUS DIAZ
Role on the policyDependent · relationship 19
PolicyB09M000331
Date of birth5 Jul 2019
PlanPLATINUM PPO
Covered from9 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00013726 Jul 2026176.00CASCADE CARENot denied—
CLM000137328 Dec 2025820.00CASCADE CARENot denied—