LEILA OKAFOR
Dependent on policy B06M000088
Claims
2
Attributed to this person
Charged
783.00
Total submitted
Denied
409.00
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 | LEILA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000088 |
| Date of birth | 5 Apr 2019 |
| Plan | SILVER HMO |
| Covered from | 28 Apr 2025 |
| Covered to | 25 Jul 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 |
|---|---|---|---|---|---|
| CLM0000463 | 27 May 2025 | 374.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000462 | 10 Apr 2025 | 409.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 409.00 |