ZARA OKAFOR
Dependent on policy B06M000860
Claims
1
Attributed to this person
Charged
423.00
Total submitted
Denied
423.00
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
| Field | Value |
|---|---|
| Name | ZARA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000860 |
| Date of birth | 20 Dec 1987 |
| Plan | GOLD PPO |
| Covered from | 12 Feb 2024 |
| Covered to | 12 Apr 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003761 | 21 Apr 2024 | 423.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 423.00 |