UMA OKAFOR
Dependent on policy B02M000668
Claims
3
Attributed to this person
Charged
1,864.00
Total submitted
Denied
177.91
1 denied claims
Patient responsibility
164.80
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 | UMA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000668 |
| Date of birth | 6 Aug 2017 |
| Plan | PLATINUM PPO |
| Covered from | 8 May 2025 |
| Covered to | 1 Jan 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 164.80 |
| Total | 164.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002819 | 7 Aug 2025 | 824.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002818 | 19 Jul 2025 | 851.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 177.91 |
| CLM0002820 | 24 Jun 2025 | 189.00 | MERIDIAN HEALTH PLAN | Not denied | — |