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 B06M000396›CARLA OKAFOR

CARLA OKAFOR

Dependent on policy B06M000396

Claims
2
Attributed to this person
Charged
1,228.00
Total submitted
Denied
787.00
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
NameCARLA OKAFOR
Role on the policyDependent · relationship 01
PolicyB06M000396
Date of birth20 Jan 1945
PlanBRONZE EPO
Covered from8 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000180213 Aug 2026441.00MERIDIAN HEALTH PLANNot denied—
CLM000180120 Nov 2025787.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY787.00