IVAN OKAFOR
Dependent on policy B06M000667
Claims
1
Attributed to this person
Charged
882.00
Total submitted
Denied
882.00
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 | Dependent · relationship 19 |
| Policy | B06M000667 |
| Date of birth | 20 Jan 1996 |
| Plan | BRONZE EPO |
| Covered from | 29 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002952 | 21 Nov 2024 | 882.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 882.00 |