YUSUF OKAFOR
Subscriber on policy B03M000428
Claims
3
Attributed to this person
Charged
914.00
Total submitted
Denied
606.08
2 denied claims
Patient responsibility
50.00
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 | YUSUF OKAFOR |
| Role on the policy | Subscriber |
| Policy | B03M000428 |
| Date of birth | 10 Feb 1956 |
| Plan | PLATINUM PPO |
| Covered from | 30 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001741 | 11 Jun 2026 | 234.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 68.08 |
| CLM0001743 | 8 Mar 2026 | 538.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 538.00 |
| CLM0001742 | 21 Feb 2026 | 142.00 | NORTHSTAR MUTUAL | Not denied | — |