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.

UMA USMAN

Subscriber on policy B05M000283

Claims
3
Attributed to this person
Charged
1,284.00
Total submitted
Denied
1,109.00
2 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
NameUMA USMAN
Role on the policySubscriber
PolicyB05M000283
Date of birth12 Jul 1992
PlanBRONZE EPO
Covered from26 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011661 Apr 2026175.00CASCADE CARENot denied—
CLM000116521 Oct 2025499.00CASCADE CARECARC 26 · ELIGIBILITY499.00
CLM000116722 Aug 2025610.00CASCADE CARECARC 197 · AUTHORIZATION610.00