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 B03M000311

Policy B03M000311

4 people enrolled on this policy.

People
4
On this policy
Claims attributed
9
To a named person
Policy-level
0
Not attributed to a person

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.

People on this policy

NameRoleBornClaimsDenialsDeniedPatient responsibility (835)
MARCUS HUGHESSubscriber31 Aug 197131851.000.00
IVAN HUGHESDependent · 0120 Aug 1973100.00151.80
BRIAN HUGHESDependent · 198 May 2001300.000.00
ZARA HUGHESDependent · 193 Feb 201022977.120.00

Policy-level claims

Every claim on this policy is attributed to a named person.

Claims are attributed to a person from the patient loop of the 837P — name, date of birth and relationship within the policy — because the transaction carries no patient identifier. A claim that matches nobody, or more than one person, stays with the policy and is shown there rather than being assigned to a guess.