MARCUS OKAFOR
Subscriber on policy B02M000722
Claims
3
Attributed to this person
Charged
2,397.00
Total submitted
Denied
780.00
1 denied claims
Patient responsibility
168.80
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 | MARCUS OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000722 |
| Date of birth | 24 Sep 1991 |
| Plan | GOLD PPO |
| Covered from | 11 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 168.80 |
| Total | 168.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003028 | 25 Dec 2025 | 844.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003029 | 30 Mar 2025 | 780.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 780.00 |
| CLM0003030 | 31 Oct 2024 | 773.00 | MERIDIAN HEALTH PLAN | Not denied | — |