DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B04M000215›NADIA KUMAR

NADIA KUMAR

Subscriber on policy B04M000215

Claims
1
Attributed to this person
Charged
833.00
Total submitted
Denied
833.00
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 โ€” 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
NameNADIA KUMAR
Role on the policySubscriber
PolicyB04M000215
Date of birth23 Jul 1995
PlanBRONZE EPO
Covered from3 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000094628 May 2025833.00CASCADE CARECARC 197 ยท AUTHORIZATION833.00