DenialIntel

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Members›policy B06M000493

Policy B06M000493

3 people enrolled on this policy.

People
3
On this policy
Claims attributed
6
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)
AMARA KUMARSubscriber7 Dec 1978200.000.00
CARLA KUMARDependent · 014 Mar 1983200.000.00
DAVID KUMARDependent · 1910 Oct 200122969.820.00

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.