DAVID OKAFOR
Subscriber on policy B08M000546
Claims
3
Attributed to this person
Charged
1,868.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
175.20
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 | DAVID OKAFOR |
| Role on the policy | Subscriber |
| Policy | B08M000546 |
| Date of birth | 3 Feb 1967 |
| Plan | SILVER HMO |
| Covered from | 4 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 175.20 |
| Total | 175.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002500 | 12 Apr 2026 | 120.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002502 | 19 Oct 2025 | 872.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002501 | 28 Jun 2025 | 876.00 | MERIDIAN HEALTH PLAN | Not denied | — |