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 B03M000719›NADIA YAMADA

NADIA YAMADA

Subscriber on policy B03M000719

Claims
3
Attributed to this person
Charged
1,546.00
Total submitted
Denied
89.00
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
NameNADIA YAMADA
Role on the policySubscriber
PolicyB03M000719
Date of birth19 Mar 2002
PlanBRONZE EPO
Covered from23 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00030055 Aug 2026815.00NORTHSTAR MUTUALNot denied—
CLM000300622 Sep 2025642.00NORTHSTAR MUTUALNot denied—
CLM000300722 Mar 202589.00NORTHSTAR MUTUALCARC 29 · TIMELY_FILING89.00