IVAN OKAFOR
Subscriber on policy B02M000856
Claims
1
Attributed to this person
Charged
622.00
Total submitted
Denied
622.00
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 | IVAN OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000856 |
| Date of birth | 24 Dec 1990 |
| Plan | BRONZE EPO |
| Covered from | 24 Nov 2024 |
| Covered to | 11 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003565 | 16 Feb 2025 | 622.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 622.00 |