IVAN OKAFOR
Dependent on policy B09M000223
Claims
3
Attributed to this person
Charged
1,133.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
133.40
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 19 |
| Policy | B09M000223 |
| Date of birth | 30 Sep 2011 |
| Plan | SILVER HMO |
| Covered from | 25 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 133.40 |
| Total | 133.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000933 | 5 Dec 2025 | 667.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000932 | 8 Nov 2025 | 266.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000931 | 17 Sep 2025 | 200.00 | MERIDIAN HEALTH PLAN | Not denied | — |