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 B02M000208›SOFIA OKAFOR

SOFIA OKAFOR

Subscriber on policy B02M000208

Claims
1
Attributed to this person
Charged
878.00
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
NameSOFIA OKAFOR
Role on the policySubscriber
PolicyB02M000208
Date of birth8 Apr 1984
PlanGOLD PPO
Covered from31 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000091416 Jun 2025878.00MERIDIAN HEALTH PLANNot denied—