IVAN OKAFOR
Subscriber on policy B06M000289
Claims
2
Attributed to this person
Charged
439.00
Total submitted
Denied
336.00
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 | IVAN OKAFOR |
| Role on the policy | Subscriber |
| Policy | B06M000289 |
| Date of birth | 16 Sep 1966 |
| Plan | BRONZE EPO |
| Covered from | 2 Aug 2024 |
| Covered to | 7 Nov 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001335 | 7 Dec 2024 | 336.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 336.00 |
| CLM0001336 | 13 Oct 2024 | 103.00 | CASCADE CARE | Not denied | — |