X12 Ingest & Denial Analytics

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Members›policy B04M000359›LEILA OKAFOR

LEILA OKAFOR

Subscriber on policy B04M000359

Claims
2
Attributed to this person
Charged
999.00
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
NameLEILA OKAFOR
Role on the policySubscriber
PolicyB04M000359
Date of birth19 Jun 1989
PlanBRONZE EPO
Covered from13 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000153527 Apr 2025263.00MERIDIAN HEALTH PLANNot denied—
CLM000153625 Apr 2024736.00MERIDIAN HEALTH PLANNot denied—