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 B04M000343›ZARA OKAFOR

ZARA OKAFOR

Subscriber on policy B04M000343

Claims
3
Attributed to this person
Charged
1,123.00
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
NameZARA OKAFOR
Role on the policySubscriber
PolicyB04M000343
Date of birth2 Jun 1954
PlanSILVER HMO
Covered from19 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000148428 May 2026148.00MERIDIAN HEALTH PLANNot denied—
CLM000148529 Oct 2025353.00MERIDIAN HEALTH PLANNot denied—
CLM000148315 May 2025622.00MERIDIAN HEALTH PLANNot denied—