ELENA OKAFOR
Dependent on policy B01M000259
Claims
3
Attributed to this person
Charged
714.00
Total submitted
Denied
125.00
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 | ELENA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000259 |
| Date of birth | 27 Dec 2013 |
| Plan | BRONZE EPO |
| Covered from | 2 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001106 | 19 May 2026 | 158.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001107 | 25 Feb 2026 | 125.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 125.00 |
| CLM0001105 | 14 Dec 2025 | 431.00 | MERIDIAN HEALTH PLAN | Not denied | — |