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 B05M000490›KEVIN OKAFOR

KEVIN OKAFOR

Dependent on policy B05M000490

Claims
2
Attributed to this person
Charged
323.00
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
NameKEVIN OKAFOR
Role on the policyDependent · relationship 19
PolicyB05M000490
Date of birth16 Jul 2006
PlanGOLD PPO
Covered from19 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000208819 Jul 2026118.00CASCADE CARENot denied—
CLM00020895 Jul 2025205.00CASCADE CARENot denied—