YUSUF OKAFOR
Subscriber on policy B10M000691
Claims
2
Attributed to this person
Charged
717.00
Total submitted
Denied
561.00
1 denied claims
Patient responsibility
23.40
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 | YUSUF OKAFOR |
| Role on the policy | Subscriber |
| Policy | B10M000691 |
| Date of birth | 29 Nov 1968 |
| Plan | SILVER HMO |
| Covered from | 15 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 23.40 |
| Total | 23.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002886 | 1 Oct 2025 | 156.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002885 | 7 Dec 2024 | 561.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 561.00 |