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 B01M000262›AMARA MURPHY

AMARA MURPHY

Subscriber on policy B01M000262

Claims
2
Attributed to this person
Charged
1,046.00
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
NameAMARA MURPHY
Role on the policySubscriber
PolicyB01M000262
Date of birth23 Aug 1953
PlanGOLD PPO
Covered from22 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011155 Aug 2026398.00NORTHSTAR MUTUALNot denied—
CLM000111425 Jan 2025648.00NORTHSTAR MUTUALNot denied—