KEVIN OKAFOR
Subscriber on policy B05M000156
Claims
3
Attributed to this person
Charged
1,791.00
Total submitted
Denied
488.00
1 denied claims
Patient responsibility
83.55
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 | KEVIN OKAFOR |
| Role on the policy | Subscriber |
| Policy | B05M000156 |
| Date of birth | 8 Aug 1980 |
| Plan | GOLD PPO |
| Covered from | 17 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 83.55 |
| Total | 83.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000651 | 8 May 2026 | 557.00 | CASCADE CARE | Not denied | — |
| CLM0000652 | 15 Jan 2026 | 746.00 | CASCADE CARE | Not denied | — |
| CLM0000653 | 29 Mar 2025 | 488.00 | CASCADE CARE | CARC 11 · CODING | 488.00 |