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 B05M000252›YUSUF YAMADA

YUSUF YAMADA

Subscriber on policy B05M000252

Claims
3
Attributed to this person
Charged
2,034.00
Total submitted
Denied
701.00
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
PolicyB05M000252
Date of birth7 May 1965
PlanSILVER HMO
Covered from23 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000102929 Jun 2026694.00NORTHSTAR MUTUALNot denied—
CLM000103115 Sep 2025701.00NORTHSTAR MUTUALCARC 29 · TIMELY_FILING701.00
CLM00010303 Sep 2025639.00NORTHSTAR MUTUALNot denied—