OMAR OKAFOR
Dependent on policy B05M000048
Claims
2
Attributed to this person
Charged
1,499.00
Total submitted
Denied
626.00
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 | OMAR OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000048 |
| Date of birth | 31 Aug 2004 |
| Plan | GOLD PPO |
| Covered from | 8 Jul 2024 |
| Covered to | 1 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000227 | 18 Apr 2025 | 873.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000226 | 31 Mar 2025 | 626.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 626.00 |