KEVIN OKAFOR
Dependent on policy B10M000575
Claims
3
Attributed to this person
Charged
1,804.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
197.70
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 | KEVIN OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000575 |
| Date of birth | 24 Mar 2023 |
| Plan | PLATINUM PPO |
| Covered from | 13 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 2 | 197.70 |
| Total | 197.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002390 | 29 Jan 2026 | 486.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002389 | 21 Jan 2026 | 643.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002391 | 26 Sep 2025 | 675.00 | MERIDIAN HEALTH PLAN | Not denied | — |