FIONA OKAFOR
Dependent on policy B10M000572
Claims
2
Attributed to this person
Charged
867.00
Total submitted
Denied
428.60
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 | FIONA OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000572 |
| Date of birth | 21 Jul 2023 |
| Plan | SILVER HMO |
| Covered from | 16 Sep 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 |
|---|---|---|---|---|---|
| CLM0002371 | 4 Sep 2025 | 301.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 301.00 |
| CLM0002372 | 9 Mar 2025 | 566.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 127.60 |