UMA OKAFOR
Subscriber on policy B04M000697
Claims
3
Attributed to this person
Charged
1,228.00
Total submitted
Denied
1,228.00
3 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 | UMA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B04M000697 |
| Date of birth | 9 Jul 1981 |
| Plan | PLATINUM PPO |
| Covered from | 13 Apr 2024 |
| Covered to | 4 Jul 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 |
|---|---|---|---|---|---|
| CLM0003041 | 31 Aug 2024 | 595.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 595.00 |
| CLM0003039 | 8 Aug 2024 | 345.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 345.00 |
| CLM0003040 | 21 Apr 2024 | 288.00 | CASCADE CARE | CARC 109 · COB | 288.00 |