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 B01M000702›NADIA OKAFOR

NADIA OKAFOR

Subscriber on policy B01M000702

Claims
3
Attributed to this person
Charged
1,476.00
Total submitted
Denied
542.00
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 OKAFOR
Role on the policySubscriber
PolicyB01M000702
Date of birth7 Mar 1967
PlanBRONZE EPO
Covered from3 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00031361 Mar 2025140.00NORTHSTAR MUTUALNot denied—
CLM000313531 Jan 2025542.00NORTHSTAR MUTUALCARC 109 · COB542.00
CLM000313718 Dec 2024794.00NORTHSTAR MUTUALNot denied—