AMARA OKAFOR
Subscriber on policy B02M000813
Claims
2
Attributed to this person
Charged
441.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
78.00
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 | AMARA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000813 |
| Date of birth | 9 Mar 1977 |
| Plan | PLATINUM PPO |
| Covered from | 17 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 78.00 |
| Total | 78.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003384 | 6 Aug 2026 | 120.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0003383 | 10 Sep 2025 | 321.00 | MERIDIAN HEALTH PLAN | Not denied | — |