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 B02M000292›WENDY OKAFOR

WENDY OKAFOR

Subscriber on policy B02M000292

Claims
2
Attributed to this person
Charged
1,332.00
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
NameWENDY OKAFOR
Role on the policySubscriber
PolicyB02M000292
Date of birth14 May 1964
PlanBRONZE EPO
Covered from18 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00012594 May 2026735.00MERIDIAN HEALTH PLANNot denied—
CLM000125818 Mar 2026597.00MERIDIAN HEALTH PLANNot denied—