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 B04M000274›YUSUF YAMADA

YUSUF YAMADA

Subscriber on policy B04M000274

Claims
3
Attributed to this person
Charged
2,161.00
Total submitted
Denied
620.00
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
NameYUSUF YAMADA
Role on the policySubscriber
PolicyB04M000274
Date of birth13 Jan 1960
PlanBRONZE EPO
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
CLM000118623 Nov 2025838.00NORTHSTAR MUTUALNot denied—
CLM00011844 May 2025703.00NORTHSTAR MUTUALNot denied—
CLM000118531 Mar 2025620.00NORTHSTAR MUTUALCARC 26 · ELIGIBILITY620.00