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 B05M000371›FIONA FOSTER

FIONA FOSTER

Subscriber on policy B05M000371

Claims
2
Attributed to this person
Charged
1,318.00
Total submitted
Denied
520.00
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
NameFIONA FOSTER
Role on the policySubscriber
PolicyB05M000371
Date of birth10 Nov 1990
PlanGOLD PPO
Covered from12 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00015782 Jun 2026520.00CASCADE CARECARC 197 · AUTHORIZATION520.00
CLM000157625 Feb 2025798.00CASCADE CARENot denied—