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 B05M000792›NADIA BAKER

NADIA BAKER

Dependent on policy B05M000792

Claims
2
Attributed to this person
Charged
630.00
Total submitted
Denied
480.00
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
NameNADIA BAKER
Role on the policyDependent · relationship 01
PolicyB05M000792
Date of birth27 Dec 2002
PlanPLATINUM PPO
Covered from13 Apr 2025
Covered to20 Jan 2026

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000335913 Nov 2025480.00CASCADE CARECARC 16 · BILLING_ERROR480.00
CLM000335810 Sep 2025150.00CASCADE CARENot denied—