JULIA OKAFOR
Dependent on policy B07M000005
Claims
3
Attributed to this person
Charged
1,376.00
Total submitted
Denied
858.00
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 | JULIA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000005 |
| Date of birth | 6 Sep 1969 |
| Plan | PLATINUM PPO |
| Covered from | 1 Mar 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 |
|---|---|---|---|---|---|
| CLM0000036 | 28 May 2025 | 336.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000035 | 6 Feb 2025 | 182.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000034 | 27 Sep 2024 | 858.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 858.00 |