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 B02M000475›JULIA GARCIA

JULIA GARCIA

Subscriber on policy B02M000475

Claims
1
Attributed to this person
Charged
892.00
Total submitted
Denied
892.00
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
NameJULIA GARCIA
Role on the policySubscriber
PolicyB02M000475
Date of birth7 Jul 1980
PlanBRONZE EPO
Covered from9 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000201510 Mar 2026892.00CASCADE CARECARC 29 ยท TIMELY_FILING892.00