JULIA OKAFOR
Subscriber on policy B07M000147
Claims
2
Attributed to this person
Charged
1,514.00
Total submitted
Denied
155.89
1 denied claims
Patient responsibility
119.40
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 | JULIA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000147 |
| Date of birth | 29 Mar 2002 |
| Plan | SILVER HMO |
| Covered from | 16 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 119.40 |
| Total | 119.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000614 | 26 Apr 2025 | 718.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 155.89 |
| CLM0000613 | 25 Oct 2024 | 796.00 | CASCADE CARE | Not denied | — |