GRACE OKAFOR
Subscriber on policy B02M000752
Claims
3
Attributed to this person
Charged
1,122.00
Total submitted
Denied
552.00
1 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 | GRACE OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000752 |
| Date of birth | 8 Feb 1965 |
| Plan | GOLD PPO |
| Covered from | 18 Nov 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 |
|---|---|---|---|---|---|
| CLM0003149 | 20 Apr 2026 | 335.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003150 | 5 Aug 2025 | 235.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003151 | 24 Oct 2024 | 552.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 552.00 |