YUSUF OKAFOR
Dependent on policy B05M000255
Claims
3
Attributed to this person
Charged
939.00
Total submitted
Denied
216.00
2 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 | YUSUF OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000255 |
| Date of birth | 28 Aug 2008 |
| Plan | PLATINUM PPO |
| Covered from | 11 Oct 2024 |
| Covered to | 27 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 |
|---|---|---|---|---|---|
| CLM0001044 | 1 Mar 2025 | 110.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 110.00 |
| CLM0001042 | 15 Jan 2025 | 106.00 | CASCADE CARE | CARC 18 · DUPLICATE | 106.00 |
| CLM0001043 | 24 Dec 2024 | 723.00 | CASCADE CARE | Not denied | — |