RAVI OKAFOR
Subscriber on policy B02M000668
Claims
3
Attributed to this person
Charged
1,940.00
Total submitted
Denied
557.00
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 | RAVI OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000668 |
| Date of birth | 3 Jan 1976 |
| Plan | PLATINUM PPO |
| Covered from | 8 May 2025 |
| Covered to | 1 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002813 | 13 Aug 2025 | 557.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 557.00 |
| CLM0002815 | 26 Jun 2025 | 801.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002814 | 25 May 2025 | 582.00 | MERIDIAN HEALTH PLAN | Not denied | — |