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 B08M000559

Policy B08M000559

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)
SOFIA FOSTERSubscriber2 Jul 1995200.000.00
RAVI FOSTERDependent · 0115 Aug 1985300.000.00
MARCUS FOSTERDependent · 1911 Nov 2014100.000.00
JULIA FOSTERDependent · 1910 Apr 2018300.000.00

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.