HENRY OKAFOR
Dependent on policy B01M000641
Claims
1
Attributed to this person
Charged
422.00
Total submitted
Denied
23.99
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 | HENRY OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000641 |
| Date of birth | 11 Mar 1985 |
| Plan | GOLD PPO |
| Covered from | 5 Jul 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 |
|---|---|---|---|---|---|
| CLM0002865 | 11 Apr 2025 | 422.00 | CASCADE CARE | CARC 11 · CODING | 23.99 |