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 B03M000175›VICTOR CHEN

VICTOR CHEN

Subscriber on policy B03M000175

Claims
1
Attributed to this person
Charged
393.00
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
NameVICTOR CHEN
Role on the policySubscriber
PolicyB03M000175
Date of birth5 Dec 1968
PlanBRONZE EPO
Covered from25 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000071116 Jan 2026393.00CASCADE CARENot denied—