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 B09M000796›VICTOR QUINN

VICTOR QUINN

Dependent on policy B09M000796

Claims
1
Attributed to this person
Charged
658.00
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
NameVICTOR QUINN
Role on the policyDependent · relationship 19
PolicyB09M000796
Date of birth13 Jul 1982
PlanBRONZE EPO
Covered from20 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000337823 Jun 2026658.00CASCADE CARENot denied—