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 B01M000094›MARCUS FOSTER

MARCUS FOSTER

Dependent on policy B01M000094

Claims
1
Attributed to this person
Charged
137.00
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
NameMARCUS FOSTER
Role on the policyDependent · relationship 01
PolicyB01M000094
Date of birth10 Apr 1942
PlanPLATINUM PPO
Covered from18 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000036922 Jun 2026137.00NORTHSTAR MUTUALNot denied—