ZARA OKAFOR
Dependent on policy B08M000336
Claims
1
Attributed to this person
Charged
683.00
Total submitted
Denied
683.00
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 | ZARA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000336 |
| Date of birth | 6 Aug 2005 |
| Plan | SILVER HMO |
| Covered from | 23 Mar 2024 |
| Covered to | 2 Sep 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001552 | 17 Oct 2024 | 683.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 683.00 |