RAVI OKAFOR
Dependent on policy B06M000891
Claims
1
Attributed to this person
Charged
408.00
Total submitted
Denied
140.06
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 | Dependent · relationship 19 |
| Policy | B06M000891 |
| Date of birth | 7 Feb 2014 |
| 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 |
|---|---|---|---|---|---|
| CLM0003881 | 16 Aug 2025 | 408.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 140.06 |