ELENA OKAFOR
Subscriber on policy B02M000806
Claims
1
Attributed to this person
Charged
101.00
Total submitted
Denied
101.00
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 | ELENA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B02M000806 |
| Date of birth | 17 Oct 1950 |
| Plan | BRONZE EPO |
| Covered from | 10 Apr 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 |
|---|---|---|---|---|---|
| CLM0003361 | 2 Mar 2025 | 101.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 101.00 |