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 B10M000102›JULIA NGUYEN

JULIA NGUYEN

Dependent on policy B10M000102

Claims
2
Attributed to this person
Charged
1,395.00
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
NameJULIA NGUYEN
Role on the policyDependent · relationship 01
PolicyB10M000102
Date of birth14 Sep 1957
PlanGOLD PPO
Covered from10 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000041415 Jun 2025764.00NORTHSTAR MUTUALNot denied—
CLM000041327 Dec 2024631.00NORTHSTAR MUTUALNot denied—