BRIAN OKAFOR
Dependent on policy B08M000321
Claims
3
Attributed to this person
Charged
2,066.00
Total submitted
Denied
443.00
2 denied claims
Patient responsibility
499.20
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 | BRIAN OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000321 |
| Date of birth | 30 Oct 1950 |
| Plan | GOLD PPO |
| Covered from | 25 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 499.20 |
| Total | 499.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001474 | 6 May 2026 | 443.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 443.00 |
| CLM0001473 | 1 May 2025 | 855.00 | CASCADE CARE | Not denied | — |
| CLM0001475 | 8 Apr 2025 | 768.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |