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 B01M000795›FIONA ANDERSON

FIONA ANDERSON

Subscriber on policy B01M000795

Claims
3
Attributed to this person
Charged
1,914.00
Total submitted
Denied
1,254.00
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
NameFIONA ANDERSON
Role on the policySubscriber
PolicyB01M000795
Date of birth12 Jan 1991
PlanBRONZE EPO
Covered from14 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00035315 Apr 2026660.00CASCADE CARENot denied—
CLM000353010 Oct 2025436.00CASCADE CARECARC 27 · ELIGIBILITY436.00
CLM00035326 Aug 2025818.00CASCADE CARECARC 11 · CODING818.00