FIONA OKAFOR
Dependent on policy B09M000580
Claims
1
Attributed to this person
Charged
386.00
Total submitted
Denied
0.00
0 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 | FIONA OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000580 |
| Date of birth | 14 Aug 1954 |
| Plan | BRONZE EPO |
| Covered from | 29 Jan 2024 |
| Covered to | 29 Aug 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002452 | 27 Jul 2024 | 386.00 | NORTHSTAR MUTUAL | Not denied | — |