ZARA OKAFOR
Dependent on policy B07M000462
Claims
3
Attributed to this person
Charged
1,555.00
Total submitted
Denied
760.00
1 denied claims
Patient responsibility
52.00
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 | ZARA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000462 |
| Date of birth | 7 Dec 2008 |
| Plan | GOLD PPO |
| Covered from | 26 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 52.00 |
| Total | 52.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001953 | 12 Apr 2026 | 535.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001951 | 2 Jan 2026 | 260.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001952 | 25 Dec 2024 | 760.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 760.00 |