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 B02M000091›YUSUF VARGAS

YUSUF VARGAS

Dependent on policy B02M000091

Claims
2
Attributed to this person
Charged
1,455.00
Total submitted
Denied
643.00
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
NameYUSUF VARGAS
Role on the policyDependent · relationship 01
PolicyB02M000091
Date of birth15 Apr 1944
PlanBRONZE EPO
Covered from6 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00004176 May 2026812.00CASCADE CARENot denied—
CLM000041826 Feb 2026643.00CASCADE CARECARC 11 · CODING643.00