CARLA OKAFOR
Dependent on policy B06M000289
Claims
3
Attributed to this person
Charged
1,458.00
Total submitted
Denied
541.00
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 | CARLA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000289 |
| Date of birth | 9 May 1987 |
| 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 |
|---|---|---|---|---|---|
| CLM0001340 | 1 Jan 2025 | 373.00 | CASCADE CARE | Not denied | — |
| CLM0001341 | 26 Dec 2024 | 541.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 541.00 |
| CLM0001342 | 24 Oct 2024 | 544.00 | CASCADE CARE | Not denied | — |