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 B10M000860›NADIA ANDERSON

NADIA ANDERSON

Subscriber on policy B10M000860

Claims
3
Attributed to this person
Charged
1,818.00
Total submitted
Denied
1,207.00
2 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 ANDERSON
Role on the policySubscriber
PolicyB10M000860
Date of birth4 Sep 1968
PlanGOLD PPO
Covered from26 Feb 2025
Covered to30 Oct 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00036414 Aug 2025815.00NORTHSTAR MUTUALCARC 26 · ELIGIBILITY815.00
CLM000364222 Jul 2025611.00NORTHSTAR MUTUALNot denied—
CLM00036432 Apr 2025392.00NORTHSTAR MUTUALCARC 29 · TIMELY_FILING392.00