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 B05M000016›HENRY OKAFOR

HENRY OKAFOR

Subscriber on policy B05M000016

Claims
3
Attributed to this person
Charged
1,637.00
Total submitted
Denied
289.00
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
NameHENRY OKAFOR
Role on the policySubscriber
PolicyB05M000016
Date of birth4 Jan 1967
PlanSILVER HMO
Covered from25 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000006513 Nov 2025289.00MERIDIAN HEALTH PLANCARC 16 · BILLING_ERROR289.00
CLM000006610 Oct 2025611.00MERIDIAN HEALTH PLANNot denied—
CLM00000648 May 2025737.00MERIDIAN HEALTH PLANNot denied—