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 B03M000232›HENRY TANAKA

HENRY TANAKA

Subscriber on policy B03M000232

Claims
3
Attributed to this person
Charged
977.00
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
NameHENRY TANAKA
Role on the policySubscriber
PolicyB03M000232
Date of birth12 Aug 1952
PlanBRONZE EPO
Covered from3 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000093417 Apr 2026401.00CASCADE CARENot denied—
CLM00009364 Aug 2025332.00CASCADE CARENot denied—
CLM00009355 May 2025244.00CASCADE CARENot denied—