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.

ZARA CHEN

Subscriber on policy B02M000477

Claims
2
Attributed to this person
Charged
1,591.00
Total submitted
Denied
891.00
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
NameZARA CHEN
Role on the policySubscriber
PolicyB02M000477
Date of birth11 Jun 1984
PlanBRONZE EPO
Covered from18 Jun 2025
Covered to9 Dec 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00020253 Feb 2026891.00CASCADE CARECARC 27 · ELIGIBILITY891.00
CLM000202613 Oct 2025700.00CASCADE CARENot denied—