OMAR OKAFOR
Dependent on policy B01M000588
Claims
1
Attributed to this person
Charged
884.00
Total submitted
Denied
316.75
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 | OMAR OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000588 |
| Date of birth | 22 Mar 1987 |
| Plan | PLATINUM PPO |
| Covered from | 15 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002621 | 15 Jan 2026 | 884.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 316.75 |