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 B05M000595›LEILA MURPHY

LEILA MURPHY

Dependent on policy B05M000595

Claims
3
Attributed to this person
Charged
1,242.00
Total submitted
Denied
965.00
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
NameLEILA MURPHY
Role on the policyDependent · relationship 01
PolicyB05M000595
Date of birth10 Oct 1947
PlanPLATINUM PPO
Covered from27 Nov 2024
Covered to2 Jun 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00025569 May 2025277.00CASCADE CARENot denied—
CLM00025589 Apr 2025784.00CASCADE CARECARC 197 · AUTHORIZATION784.00
CLM000255729 Oct 2024181.00CASCADE CARECARC 26 · ELIGIBILITY181.00