SOFIA OKAFOR
Subscriber on policy B07M000348
Claims
3
Attributed to this person
Charged
2,121.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
505.70
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 | SOFIA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000348 |
| Date of birth | 15 Sep 1983 |
| Plan | PLATINUM PPO |
| Covered from | 4 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 505.70 |
| Total | 505.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001478 | 7 Sep 2025 | 778.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0001479 | 8 Oct 2024 | 844.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001477 | 3 Sep 2024 | 499.00 | MERIDIAN HEALTH PLAN | Not denied | — |