DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B02M000220›NADIA CHEN

NADIA CHEN

Subscriber on policy B02M000220

Claims
1
Attributed to this person
Charged
371.00
Total submitted
Denied
371.00
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 โ€” 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
NameNADIA CHEN
Role on the policySubscriber
PolicyB02M000220
Date of birth3 Mar 1973
PlanSILVER HMO
Covered from17 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00009588 Jun 2026371.00NORTHSTAR MUTUALCARC 16 ยท BILLING_ERROR371.00