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 B02M000608›WENDY GARCIA

WENDY GARCIA

Dependent on policy B02M000608

Claims
3
Attributed to this person
Charged
1,830.00
Total submitted
Denied
816.00
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
NameWENDY GARCIA
Role on the policyDependent · relationship 19
PolicyB02M000608
Date of birth26 Jun 2002
PlanBRONZE EPO
Covered from22 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000256021 Aug 2026253.00CASCADE CARENot denied—
CLM000255922 Feb 2026761.00CASCADE CARENot denied—
CLM000255814 Aug 2024816.00CASCADE CARECARC 26 · ELIGIBILITY816.00