DAVID OKAFOR
Subscriber on policy B09M000560
Claims
2
Attributed to this person
Charged
964.00
Total submitted
Denied
917.22
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 | DAVID OKAFOR |
| Role on the policy | Subscriber |
| Policy | B09M000560 |
| Date of birth | 25 Apr 1996 |
| Plan | BRONZE EPO |
| Covered from | 5 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 |
|---|---|---|---|---|---|
| CLM0002359 | 6 Mar 2026 | 877.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 877.00 |
| CLM0002360 | 10 May 2025 | 87.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 40.22 |