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 B02M000251›SOFIA NGUYEN

SOFIA NGUYEN

Subscriber on policy B02M000251

Claims
2
Attributed to this person
Charged
729.00
Total submitted
Denied
146.60
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
NameSOFIA NGUYEN
Role on the policySubscriber
PolicyB02M000251
Date of birth30 May 1989
PlanSILVER HMO
Covered from8 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000109221 Apr 2026422.00CASCADE CARECARC 27 · ELIGIBILITY146.60
CLM00010917 Mar 2025307.00CASCADE CARENot denied—