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 B05M000718›LEILA OKAFOR

LEILA OKAFOR

Dependent on policy B05M000718

Claims
3
Attributed to this person
Charged
1,368.00
Total submitted
Denied
322.00
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
NameLEILA OKAFOR
Role on the policyDependent · relationship 01
PolicyB05M000718
Date of birth29 Mar 1978
PlanGOLD PPO
Covered from1 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000307210 Jul 2026410.00MERIDIAN HEALTH PLANNot denied—
CLM000307117 Dec 2025636.00MERIDIAN HEALTH PLANNot denied—
CLM000307321 Jul 2025322.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY322.00