AMARA OKAFOR
Dependent on policy B09M000464
Claims
3
Attributed to this person
Charged
1,100.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
133.40
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 19 |
| Policy | B09M000464 |
| Date of birth | 9 Jun 2018 |
| Plan | PLATINUM PPO |
| Covered from | 29 Apr 2025 |
| Covered to | 27 Sep 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 133.40 |
| Total | 133.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001961 | 30 Aug 2025 | 667.00 | CASCADE CARE | Not denied | — |
| CLM0001959 | 27 May 2025 | 110.00 | CASCADE CARE | Not denied | — |
| CLM0001960 | 6 May 2025 | 323.00 | CASCADE CARE | Not denied | — |