RAVI OKAFOR
Subscriber on policy B06M000891
Claims
1
Attributed to this person
Charged
593.00
Total submitted
Denied
593.00
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 | RAVI OKAFOR |
| Role on the policy | Subscriber |
| Policy | B06M000891 |
| Date of birth | 15 Dec 1970 |
| Plan | PLATINUM PPO |
| Covered from | 20 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003876 | 11 Jun 2026 | 593.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 593.00 |