VICTOR OKAFOR
Dependent on policy B10M000276
Claims
1
Attributed to this person
Charged
216.00
Total submitted
Denied
216.00
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 | VICTOR OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000276 |
| Date of birth | 8 Oct 1972 |
| Plan | PLATINUM PPO |
| Covered from | 15 Mar 2025 |
| Covered to | 11 Sep 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 |
|---|---|---|---|---|---|
| CLM0001157 | 4 Sep 2025 | 216.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 216.00 |