TOMAS OKAFOR
Dependent on policy B09M000833
Claims
3
Attributed to this person
Charged
1,562.00
Total submitted
Denied
881.00
2 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 | TOMAS OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000833 |
| Date of birth | 23 Jun 1979 |
| Plan | PLATINUM PPO |
| Covered from | 4 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003543 | 12 Jul 2026 | 681.00 | CASCADE CARE | Not denied | — |
| CLM0003542 | 11 Sep 2025 | 466.00 | CASCADE CARE | CARC 18 · DUPLICATE | 466.00 |
| CLM0003541 | 15 Nov 2024 | 415.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 415.00 |