TOMAS OKAFOR
Subscriber on policy B07M000203
Claims
2
Attributed to this person
Charged
544.00
Total submitted
Denied
544.00
2 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 | TOMAS OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000203 |
| Date of birth | 2 Oct 1952 |
| Plan | PLATINUM PPO |
| Covered from | 11 Jul 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 |
|---|---|---|---|---|---|
| CLM0000846 | 16 Sep 2025 | 74.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 74.00 |
| CLM0000847 | 11 Jun 2024 | 470.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 470.00 |