ELENA OKAFOR
Subscriber on policy B09M000710
Claims
2
Attributed to this person
Charged
1,084.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
40.00
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 | ELENA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B09M000710 |
| Date of birth | 17 Feb 1994 |
| Plan | PLATINUM PPO |
| Covered from | 27 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 40.00 |
| Total | 40.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003014 | 27 Jan 2026 | 329.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003013 | 5 Sep 2024 | 755.00 | MERIDIAN HEALTH PLAN | Not denied | — |