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 B07M000691›BRIAN OKAFOR

BRIAN OKAFOR

Subscriber on policy B07M000691

Claims
3
Attributed to this person
Charged
1,835.00
Total submitted
Denied
203.93
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
NameBRIAN OKAFOR
Role on the policySubscriber
PolicyB07M000691
Date of birth10 Mar 2003
PlanBRONZE EPO
Covered from13 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00028621 Feb 2026598.00NORTHSTAR MUTUALNot denied—
CLM000286321 Nov 2025518.00NORTHSTAR MUTUALNot denied—
CLM000286128 Jan 2025719.00NORTHSTAR MUTUALCARC 16 · BILLING_ERROR203.93