FIONA OKAFOR
Subscriber on policy B07M000361
Claims
3
Attributed to this person
Charged
2,411.00
Total submitted
Denied
375.58
1 denied claims
Patient responsibility
135.00
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 | FIONA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000361 |
| Date of birth | 23 Jan 1996 |
| Plan | PLATINUM PPO |
| Covered from | 21 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 135.00 |
| Total | 135.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001533 | 21 Apr 2026 | 900.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001531 | 12 Apr 2025 | 741.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001532 | 6 Dec 2024 | 770.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 375.58 |