CARLA OKAFOR
Subscriber on policy B08M000398
Claims
2
Attributed to this person
Charged
724.00
Total submitted
Denied
208.00
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 | CARLA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B08M000398 |
| Date of birth | 28 Nov 1997 |
| Plan | BRONZE EPO |
| Covered from | 5 Feb 2024 |
| Covered to | 30 Nov 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 |
|---|---|---|---|---|---|
| CLM0001821 | 29 Jul 2024 | 516.00 | CASCADE CARE | Not denied | — |
| CLM0001822 | 8 Jan 2024 | 208.00 | CASCADE CARE | CARC 18 · DUPLICATE | 208.00 |