RAVI OKAFOR
Dependent on policy B09M000632
Claims
3
Attributed to this person
Charged
1,685.00
Total submitted
Denied
873.00
2 denied claims
Patient responsibility
0.00
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 | RAVI OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000632 |
| Date of birth | 13 Jan 1948 |
| Plan | BRONZE EPO |
| Covered from | 13 Feb 2025 |
| Covered to | 1 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002681 | 16 Oct 2025 | 233.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 233.00 |
| CLM0002682 | 11 Aug 2025 | 640.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 640.00 |
| CLM0002680 | 29 Jul 2025 | 812.00 | MERIDIAN HEALTH PLAN | Not denied | — |