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 B05M000281›JULIA OKAFOR

JULIA OKAFOR

Dependent on policy B05M000281

Claims
2
Attributed to this person
Charged
935.00
Total submitted
Denied
785.00
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
NameJULIA OKAFOR
Role on the policyDependent · relationship 19
PolicyB05M000281
Date of birth26 Jul 1989
PlanPLATINUM PPO
Covered from3 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000116128 Dec 2025150.00MERIDIAN HEALTH PLANNot denied—
CLM00011628 Nov 2024785.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING785.00