BRIAN OKAFOR
Dependent on policy B08M000842
Claims
1
Attributed to this person
Charged
743.00
Total submitted
Denied
743.00
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 | Dependent · relationship 01 |
| Policy | B08M000842 |
| Date of birth | 6 Dec 1960 |
| 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 |
|---|---|---|---|---|---|
| CLM0003766 | 24 Jun 2026 | 743.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 743.00 |