IVAN OKAFOR
Dependent on policy B07M000509
Claims
2
Attributed to this person
Charged
625.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
301.60
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 | IVAN OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000509 |
| Date of birth | 20 Mar 1986 |
| Plan | PLATINUM PPO |
| Covered from | 3 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 301.60 |
| Total | 301.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002171 | 15 Nov 2025 | 464.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0002170 | 10 Sep 2025 | 161.00 | MERIDIAN HEALTH PLAN | Not denied | — |