BRIAN OKAFOR
Subscriber on policy B07M000649
Claims
1
Attributed to this person
Charged
700.00
Total submitted
Denied
186.01
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 | BRIAN OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000649 |
| Date of birth | 2 Jun 2002 |
| Plan | PLATINUM PPO |
| Covered from | 4 Jan 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 |
|---|---|---|---|---|---|
| CLM0002703 | 6 Dec 2025 | 700.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 186.01 |