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 B02M000009›WENDY FOSTER

WENDY FOSTER

Subscriber on policy B02M000009

Claims
2
Attributed to this person
Charged
673.00
Total submitted
Denied
441.00
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
NameWENDY FOSTER
Role on the policySubscriber
PolicyB02M000009
Date of birth15 Aug 1960
PlanPLATINUM PPO
Covered from29 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000005417 Nov 2025232.00NORTHSTAR MUTUALNot denied—
CLM000005514 Nov 2024441.00NORTHSTAR MUTUALCARC 11 · CODING441.00