DAVID OKAFOR
Dependent on policy B09M000699
Claims
1
Attributed to this person
Charged
604.00
Total submitted
Denied
604.00
1 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 | DAVID OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000699 |
| Date of birth | 12 Apr 1945 |
| Plan | BRONZE EPO |
| Covered from | 7 Aug 2024 |
| Covered to | 15 Mar 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 |
|---|---|---|---|---|---|
| CLM0002979 | 4 Oct 2024 | 604.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 604.00 |