FIONA OKAFOR
Dependent on policy B10M000778
Claims
2
Attributed to this person
Charged
834.00
Total submitted
Denied
762.00
1 denied claims
Patient responsibility
14.40
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 | FIONA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000778 |
| Date of birth | 24 Aug 2000 |
| Plan | BRONZE EPO |
| Covered from | 25 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 14.40 |
| Total | 14.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003267 | 31 May 2026 | 762.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 762.00 |
| CLM0003266 | 14 Dec 2025 | 72.00 | MERIDIAN HEALTH PLAN | Not denied | — |