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 B01M000360›YUSUF NGUYEN

YUSUF NGUYEN

Subscriber on policy B01M000360

Claims
3
Attributed to this person
Charged
1,170.00
Total submitted
Denied
387.00
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 NGUYEN
Role on the policySubscriber
PolicyB01M000360
Date of birth5 Apr 1961
PlanPLATINUM PPO
Covered from20 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000158824 May 2026180.00NORTHSTAR MUTUALNot denied—
CLM000159021 Jul 2025603.00NORTHSTAR MUTUALNot denied—
CLM000158921 May 2025387.00NORTHSTAR MUTUALCARC 26 · ELIGIBILITY387.00