VICTOR OKAFOR
Subscriber on policy B07M000462
Claims
3
Attributed to this person
Charged
1,882.00
Total submitted
Denied
547.00
1 denied claims
Patient responsibility
30.00
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 | VICTOR OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000462 |
| Date of birth | 1 Jul 1984 |
| Plan | GOLD PPO |
| Covered from | 26 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001948 | 10 Apr 2026 | 547.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 547.00 |
| CLM0001947 | 23 Jul 2025 | 737.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001946 | 4 Jul 2025 | 598.00 | NORTHSTAR MUTUAL | Not denied | — |