PRIYA OKAFOR
Subscriber on policy B01M000217
Claims
3
Attributed to this person
Charged
1,062.00
Total submitted
Denied
121.00
1 denied claims
Patient responsibility
70.40
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 | PRIYA OKAFOR |
| Role on the policy | Subscriber |
| Policy | B01M000217 |
| Date of birth | 25 Sep 1951 |
| Plan | PLATINUM PPO |
| Covered from | 20 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 70.40 |
| Total | 70.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000927 | 20 Jun 2026 | 589.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000928 | 23 Feb 2026 | 121.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 121.00 |
| CLM0000929 | 31 Mar 2025 | 352.00 | NORTHSTAR MUTUAL | Not denied | — |