WENDY OKAFOR
Subscriber on policy B07M000898
Claims
2
Attributed to this person
Charged
721.00
Total submitted
Denied
498.00
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 | WENDY OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000898 |
| Date of birth | 23 May 1972 |
| Plan | GOLD PPO |
| Covered from | 12 Mar 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 |
|---|---|---|---|---|---|
| CLM0003716 | 23 Aug 2024 | 498.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 498.00 |
| CLM0003717 | 7 May 2024 | 223.00 | CASCADE CARE | Not denied | — |