DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B10M000416›WENDY MURPHY

WENDY MURPHY

Subscriber on policy B10M000416

Claims
1
Attributed to this person
Charged
70.00
Total submitted
Denied
10.31
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 โ€” 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
NameWENDY MURPHY
Role on the policySubscriber
PolicyB10M000416
Date of birth11 Mar 1969
PlanPLATINUM PPO
Covered from1 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000173323 May 202670.00NORTHSTAR MUTUALCARC 27 ยท ELIGIBILITY10.31