AMARA OKAFOR
Dependent on policy B10M000595
Claims
2
Attributed to this person
Charged
696.00
Total submitted
Denied
326.00
1 denied claims
Patient responsibility
30.00
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 | AMARA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000595 |
| Date of birth | 30 Jan 1993 |
| Plan | BRONZE EPO |
| Covered from | 30 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002466 | 27 Oct 2025 | 370.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002465 | 25 Aug 2025 | 326.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 326.00 |