JULIA OKAFOR
Dependent on policy B10M000307
Claims
2
Attributed to this person
Charged
1,166.00
Total submitted
Denied
193.92
1 denied claims
Patient responsibility
30.00
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 | JULIA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000307 |
| Date of birth | 15 Jun 1989 |
| Plan | GOLD PPO |
| Covered from | 10 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001290 | 30 Jan 2026 | 699.00 | CASCADE CARE | Not denied | — |
| CLM0001291 | 5 Jul 2025 | 467.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 193.92 |