SOFIA OKAFOR
Subscriber on policy B07M000862
Claims
3
Attributed to this person
Charged
536.00
Total submitted
Denied
444.00
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 | SOFIA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B07M000862 |
| Date of birth | 24 Jan 1983 |
| Plan | GOLD PPO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0003559 | 28 Dec 2025 | 112.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 112.00 |
| CLM0003558 | 18 Jan 2025 | 92.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003560 | 3 Jun 2024 | 332.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 332.00 |