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 B10M000373›UMA MURPHY

UMA MURPHY

Subscriber on policy B10M000373

Claims
2
Attributed to this person
Charged
987.00
Total submitted
Denied
898.00
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
NameUMA MURPHY
Role on the policySubscriber
PolicyB10M000373
Date of birth3 Apr 1990
PlanGOLD PPO
Covered from9 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00015514 May 202689.00NORTHSTAR MUTUALNot denied—
CLM000155029 May 2025898.00NORTHSTAR MUTUALCARC 18 · DUPLICATE898.00