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 B02M000116›FIONA USMAN

FIONA USMAN

Dependent on policy B02M000116

Claims
1
Attributed to this person
Charged
88.00
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
NameFIONA USMAN
Role on the policyDependent · relationship 19
PolicyB02M000116
Date of birth11 Nov 2016
PlanSILVER HMO
Covered from27 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000052723 Apr 202688.00CASCADE CARENot denied—