SOFIA OKAFOR
Subscriber on policy B03M000206
Claims
1
Attributed to this person
Charged
158.00
Total submitted
Denied
158.00
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 | SOFIA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B03M000206 |
| Date of birth | 22 Sep 2004 |
| Plan | PLATINUM PPO |
| Covered from | 1 May 2025 |
| Covered to | 19 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000847 | 5 Apr 2025 | 158.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 158.00 |