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 B03M000274›WENDY NGUYEN

WENDY NGUYEN

Dependent on policy B03M000274

Claims
3
Attributed to this person
Charged
1,146.00
Total submitted
Denied
391.00
2 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
NameWENDY NGUYEN
Role on the policyDependent · relationship 01
PolicyB03M000274
Date of birth29 Nov 1966
PlanGOLD PPO
Covered from27 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000109715 Aug 2026755.00CASCADE CARENot denied—
CLM00010969 Sep 2025327.00CASCADE CARECARC 27 · ELIGIBILITY327.00
CLM000109810 May 202564.00CASCADE CARECARC 50 · MEDICAL_NECESSITY64.00