RAVI OKAFOR
Dependent on policy B06M000393
Claims
2
Attributed to this person
Charged
996.00
Total submitted
Denied
996.00
2 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 | RAVI OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000393 |
| Date of birth | 29 Jun 1962 |
| Plan | SILVER HMO |
| Covered from | 11 Jan 2025 |
| Covered to | 2 Jul 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 |
|---|---|---|---|---|---|
| CLM0001784 | 3 Feb 2025 | 408.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 408.00 |
| CLM0001783 | 25 Dec 2024 | 588.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 588.00 |