X12 Ingest & Denial Analytics

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Members›policy B03M000690›MARCUS OKAFOR

MARCUS OKAFOR

Subscriber on policy B03M000690

Claims
2
Attributed to this person
Charged
833.00
Total submitted
Denied
571.00
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
NameMARCUS OKAFOR
Role on the policySubscriber
PolicyB03M000690
Date of birth8 Dec 1975
PlanSILVER HMO
Covered from21 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000287024 Sep 2025262.00MERIDIAN HEALTH PLANNot denied—
CLM000287122 Jan 2024571.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY571.00