NADIA OKAFOR
Subscriber on policy B02M000526
Claims
3
Attributed to this person
Charged
869.00
Total submitted
Denied
331.00
1 denied claims
Patient responsibility
16.80
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 | NADIA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000526 |
| Date of birth | 4 Sep 1951 |
| Plan | BRONZE EPO |
| Covered from | 2 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 16.80 |
| Total | 16.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002229 | 19 Apr 2026 | 84.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002228 | 9 Nov 2025 | 331.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 331.00 |
| CLM0002230 | 28 Jan 2025 | 454.00 | NORTHSTAR MUTUAL | Not denied | — |