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 B02M000244›MARCUS WILSON

MARCUS WILSON

Dependent on policy B02M000244

Claims
1
Attributed to this person
Charged
346.00
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
NameMARCUS WILSON
Role on the policyDependent · relationship 01
PolicyB02M000244
Date of birth21 Jun 1970
PlanBRONZE EPO
Covered from10 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00010641 Mar 2026346.00NORTHSTAR MUTUALNot denied—