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 B10M000265›OMAR USMAN

OMAR USMAN

Subscriber on policy B10M000265

Claims
2
Attributed to this person
Charged
1,083.00
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
NameOMAR USMAN
Role on the policySubscriber
PolicyB10M000265
Date of birth29 Mar 1973
PlanBRONZE EPO
Covered from20 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000108619 Feb 2026399.00CASCADE CARENot denied—
CLM000108710 Nov 2025684.00CASCADE CARENot denied—