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 B02M000613›NADIA OKAFOR

NADIA OKAFOR

Dependent on policy B02M000613

Claims
2
Attributed to this person
Charged
970.00
Total submitted
Denied
255.00
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
NameNADIA OKAFOR
Role on the policyDependent · relationship 01
PolicyB02M000613
Date of birth23 Apr 1992
PlanGOLD PPO
Covered from23 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000257715 Apr 2025255.00CASCADE CARECARC 27 · ELIGIBILITY255.00
CLM00025787 Oct 2024715.00CASCADE CARENot denied—