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 B03M000586›AMARA PATEL

AMARA PATEL

Dependent on policy B03M000586

Claims
3
Attributed to this person
Charged
1,280.00
Total submitted
Denied
72.00
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
NameAMARA PATEL
Role on the policyDependent · relationship 19
PolicyB03M000586
Date of birth14 Nov 2008
PlanBRONZE EPO
Covered from5 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000239221 Aug 2026793.00CASCADE CARENot denied—
CLM00023937 Jan 202672.00CASCADE CARECARC 27 · ELIGIBILITY72.00
CLM00023916 Nov 2025415.00CASCADE CARENot denied—