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 B10M000046›NADIA NGUYEN

NADIA NGUYEN

Dependent on policy B10M000046

Claims
2
Attributed to this person
Charged
966.00
Total submitted
Denied
450.00
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
NameNADIA NGUYEN
Role on the policyDependent · relationship 01
PolicyB10M000046
Date of birth18 Sep 1969
PlanBRONZE EPO
Covered from30 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00001746 Jul 2025516.00NORTHSTAR MUTUALNot denied—
CLM00001732 Mar 2024450.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY450.00