X12 Ingest & Denial Analytics

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Members›policy B10M000276›PRIYA OKAFOR

PRIYA OKAFOR

Dependent on policy B10M000276

Claims
3
Attributed to this person
Charged
1,084.00
Total submitted
Denied
368.00
2 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
NamePRIYA OKAFOR
Role on the policyDependent · relationship 19
PolicyB10M000276
Date of birth29 Nov 2015
PlanPLATINUM PPO
Covered from15 Mar 2025
Covered to11 Sep 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000116012 Sep 2025152.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY152.00
CLM000115831 May 2025716.00MERIDIAN HEALTH PLANNot denied—
CLM00011591 Mar 2025216.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY216.00