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 B10M000412›JULIA REYES

JULIA REYES

Dependent on policy B10M000412

Claims
2
Attributed to this person
Charged
537.00
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
NameJULIA REYES
Role on the policyDependent · relationship 19
PolicyB10M000412
Date of birth2 Nov 2012
PlanBRONZE EPO
Covered from19 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000171712 May 2026405.00CASCADE CARENot denied—
CLM000171817 Jan 2026132.00CASCADE CARENot denied—