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 B10M000752›NADIA CHEN

NADIA CHEN

Dependent on policy B10M000752

Claims
1
Attributed to this person
Charged
129.00
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
NameNADIA CHEN
Role on the policyDependent · relationship 19
PolicyB10M000752
Date of birth23 Jun 2012
PlanPLATINUM PPO
Covered from18 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00031506 Oct 2025129.00NORTHSTAR MUTUALNot denied—