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 B09M000079›IVAN OKAFOR

IVAN OKAFOR

Subscriber on policy B09M000079

Claims
2
Attributed to this person
Charged
869.00
Total submitted
Denied
0.00
0 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
NameIVAN OKAFOR
Role on the policySubscriber
PolicyB09M000079
Date of birth20 Aug 1950
PlanSILVER HMO
Covered from29 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000034226 May 2025762.00MERIDIAN HEALTH PLANNot denied—
CLM000034310 Jan 2025107.00MERIDIAN HEALTH PLANNot denied—