X12 Ingest & Denial Analytics

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 B01M000221›JULIA OKAFOR

JULIA OKAFOR

Dependent on policy B01M000221

Claims
1
Attributed to this person
Charged
664.00
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
NameJULIA OKAFOR
Role on the policyDependent · relationship 19
PolicyB01M000221
Date of birth31 Dec 1999
PlanPLATINUM PPO
Covered from11 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00009436 Jun 2025664.00MERIDIAN HEALTH PLANNot denied—