UMA OKAFOR
Dependent on policy B07M000898
Claims
3
Attributed to this person
Charged
780.00
Total submitted
Denied
551.83
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 | UMA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000898 |
| Date of birth | 13 Jan 2000 |
| 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 |
|---|---|---|---|---|---|
| CLM0003724 | 20 Aug 2026 | 106.00 | CASCADE CARE | Not denied | — |
| CLM0003725 | 12 Jun 2024 | 162.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 39.83 |
| CLM0003726 | 18 Apr 2024 | 512.00 | CASCADE CARE | CARC 11 · CODING | 512.00 |