DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B01M000588›JULIA OKAFOR

JULIA OKAFOR

Subscriber on policy B01M000588

Claims
1
Attributed to this person
Charged
533.00
Total submitted
Denied
533.00
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 โ€” 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 policySubscriber
PolicyB01M000588
Date of birth16 Mar 1951
PlanPLATINUM PPO
Covered from15 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000261923 Apr 2025533.00CASCADE CARECARC 26 ยท ELIGIBILITY533.00