KEVIN OKAFOR
Dependent on policy B07M000203
Claims
3
Attributed to this person
Charged
1,076.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
285.35
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 | KEVIN OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000203 |
| Date of birth | 19 Sep 1960 |
| Plan | PLATINUM PPO |
| Covered from | 11 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 285.35 |
| Total | 285.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000849 | 3 Jun 2026 | 508.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000850 | 25 Mar 2025 | 439.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |
| CLM0000848 | 27 Jan 2025 | 129.00 | NORTHSTAR MUTUAL | Not denied | — |