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 B03M000468›NADIA FOSTER

NADIA FOSTER

Dependent on policy B03M000468

Claims
3
Attributed to this person
Charged
1,308.00
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
NameNADIA FOSTER
Role on the policyDependent · relationship 01
PolicyB03M000468
Date of birth25 Jun 1976
PlanSILVER HMO
Covered from1 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00019371 Jun 2026493.00NORTHSTAR MUTUALNot denied—
CLM000193629 Apr 2026109.00NORTHSTAR MUTUALNot denied—
CLM000193821 Feb 2026706.00NORTHSTAR MUTUALNot denied—