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 B10M000530›JULIA CHEN

JULIA CHEN

Subscriber on policy B10M000530

Claims
2
Attributed to this person
Charged
532.00
Total submitted
Denied
430.00
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
NameJULIA CHEN
Role on the policySubscriber
PolicyB10M000530
Date of birth27 Mar 1959
PlanBRONZE EPO
Covered from15 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000218916 Nov 2025430.00NORTHSTAR MUTUALCARC 18 · DUPLICATE430.00
CLM00021904 Sep 2025102.00NORTHSTAR MUTUALNot denied—