AMARA OKAFOR
Dependent on policy B08M000480
Claims
2
Attributed to this person
Charged
795.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
45.60
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 | AMARA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000480 |
| Date of birth | 14 May 1976 |
| Plan | SILVER HMO |
| Covered from | 13 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 45.60 |
| Total | 45.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002236 | 23 May 2025 | 567.00 | CASCADE CARE | Not denied | — |
| CLM0002237 | 8 Dec 2024 | 228.00 | CASCADE CARE | Not denied | — |