JULIA OKAFOR
Dependent on policy B09M000620
Claims
3
Attributed to this person
Charged
975.00
Total submitted
Denied
751.00
2 denied claims
Patient responsibility
25.00
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 | JULIA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000620 |
| Date of birth | 16 Nov 1998 |
| Plan | PLATINUM PPO |
| Covered from | 29 Mar 2025 |
| Covered to | 27 Aug 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 25.00 |
| Total | 25.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002620 | 19 Jul 2025 | 181.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 181.00 |
| CLM0002618 | 26 Jun 2025 | 224.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002619 | 27 Feb 2025 | 570.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 570.00 |