TOMAS OKAFOR
Subscriber on policy B08M000842
Claims
2
Attributed to this person
Charged
628.00
Total submitted
Denied
104.39
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 | TOMAS OKAFOR |
| Role on the policy | Subscriber |
| Policy | B08M000842 |
| Date of birth | 15 Aug 1965 |
| Plan | PLATINUM PPO |
| Covered from | 18 Oct 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 |
|---|---|---|---|---|---|
| CLM0003765 | 28 May 2026 | 400.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 104.39 |
| CLM0003764 | 8 Mar 2026 | 228.00 | NORTHSTAR MUTUAL | Not denied | — |