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 B03M000088›OMAR MURPHY

OMAR MURPHY

Subscriber on policy B03M000088

Claims
1
Attributed to this person
Charged
456.00
Total submitted
Denied
456.00
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
NameOMAR MURPHY
Role on the policySubscriber
PolicyB03M000088
Date of birth16 Aug 1986
PlanPLATINUM PPO
Covered from6 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000037024 Jul 2025456.00CASCADE CARECARC 18 ยท DUPLICATE456.00