SOFIA OKAFOR
Dependent on policy B02M000210
Claims
2
Attributed to this person
Charged
1,061.00
Total submitted
Denied
356.00
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 | SOFIA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000210 |
| Date of birth | 25 Sep 1974 |
| Plan | PLATINUM PPO |
| Covered from | 2 Jun 2024 |
| Covered to | 12 Sep 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000919 | 27 Aug 2024 | 705.00 | CASCADE CARE | Not denied | — |
| CLM0000920 | 4 May 2024 | 356.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 356.00 |