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 B01M000867›FIONA HUGHES

FIONA HUGHES

Dependent on policy B01M000867

Claims
1
Attributed to this person
Charged
468.00
Total submitted
Denied
468.00
1 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 HUGHES
Role on the policyDependent · relationship 19
PolicyB01M000867
Date of birth19 Apr 1990
PlanPLATINUM PPO
Covered from25 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000384522 Apr 2026468.00CASCADE CARECARC 26 · ELIGIBILITY468.00