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 B10M000888›RAVI MURPHY

RAVI MURPHY

Dependent on policy B10M000888

Claims
1
Attributed to this person
Charged
108.00
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
NameRAVI MURPHY
Role on the policyDependent · relationship 01
PolicyB10M000888
Date of birth21 Sep 1977
PlanSILVER HMO
Covered from3 Jan 2024
Covered to30 Sep 2024

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00037807 Sep 2024108.00CASCADE CARENot denied—