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 B04M000718›JULIA FOSTER

JULIA FOSTER

Subscriber on policy B04M000718

Claims
2
Attributed to this person
Charged
868.00
Total submitted
Denied
330.00
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
NameJULIA FOSTER
Role on the policySubscriber
PolicyB04M000718
Date of birth11 Apr 1994
PlanPLATINUM PPO
Covered from25 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000312623 Apr 2025538.00CASCADE CARENot denied—
CLM000312518 Oct 2024330.00CASCADE CARECARC 27 · ELIGIBILITY330.00