X12 Ingest & Denial Analytics

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Members›policy B09M000422›OMAR OKAFOR

OMAR OKAFOR

Dependent on policy B09M000422

Claims
3
Attributed to this person
Charged
1,250.00
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
NameOMAR OKAFOR
Role on the policyDependent · relationship 01
PolicyB09M000422
Date of birth18 Oct 1972
PlanSILVER HMO
Covered from18 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000176128 Jan 2026674.00MERIDIAN HEALTH PLANNot denied—
CLM000176313 Nov 2025119.00MERIDIAN HEALTH PLANNot denied—
CLM000176224 Dec 2024457.00MERIDIAN HEALTH PLANNot denied—