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 B02M000597›VICTOR OKAFOR

VICTOR OKAFOR

Subscriber on policy B02M000597

Claims
3
Attributed to this person
Charged
1,154.00
Total submitted
Denied
516.00
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 — 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
NameVICTOR OKAFOR
Role on the policySubscriber
PolicyB02M000597
Date of birth3 Aug 2000
PlanSILVER HMO
Covered from18 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000250326 Nov 2025516.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY516.00
CLM000250413 Nov 2025143.00NORTHSTAR MUTUALNot denied—
CLM000250516 Oct 2024495.00NORTHSTAR MUTUALNot denied—