LEILA OKAFOR
Subscriber on policy B05M000290
Claims
3
Attributed to this person
Charged
1,738.00
Total submitted
Denied
534.41
3 denied claims
Patient responsibility
494.65
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 | LEILA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B05M000290 |
| Date of birth | 27 Jan 1983 |
| Plan | PLATINUM PPO |
| Covered from | 24 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 494.65 |
| Total | 494.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001197 | 1 Apr 2026 | 761.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0001198 | 7 Jan 2026 | 244.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 244.00 |
| CLM0001199 | 9 Aug 2025 | 733.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 290.41 |