OMAR OKAFOR
Dependent on policy B03M000085
Claims
3
Attributed to this person
Charged
790.00
Total submitted
Denied
0.00
0 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 | OMAR OKAFOR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000085 |
| Date of birth | 29 Sep 1999 |
| Plan | SILVER HMO |
| Covered from | 22 Feb 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 |
|---|---|---|---|---|---|
| CLM0000365 | 17 Feb 2026 | 332.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000364 | 29 Apr 2025 | 269.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000366 | 9 Jan 2025 | 189.00 | NORTHSTAR MUTUAL | Not denied | — |