ELENA OKAFOR
Subscriber on policy B06M000708
Claims
2
Attributed to this person
Charged
1,157.00
Total submitted
Denied
479.00
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 | ELENA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B06M000708 |
| Date of birth | 13 Apr 1998 |
| Plan | PLATINUM PPO |
| Covered from | 27 Sep 2024 |
| Covered to | 4 Jun 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 |
|---|---|---|---|---|---|
| CLM0003155 | 7 Jan 2025 | 678.00 | CASCADE CARE | Not denied | — |
| CLM0003154 | 21 Sep 2024 | 479.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 479.00 |