WENDY OKAFOR
Subscriber on policy B06M000469
Claims
1
Attributed to this person
Charged
783.00
Total submitted
Denied
277.14
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 | WENDY OKAFOR |
| Role on the policy | Subscriber |
| Policy | B06M000469 |
| Date of birth | 22 Sep 1988 |
| Plan | PLATINUM PPO |
| Covered from | 16 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002114 | 4 Jan 2025 | 783.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 277.14 |