MARCUS OKAFOR
Subscriber on policy B01M000287
Claims
3
Attributed to this person
Charged
1,546.00
Total submitted
Denied
629.43
2 denied claims
Patient responsibility
96.60
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 | MARCUS OKAFOR |
| Role on the policy | Subscriber |
| Policy | B01M000287 |
| Date of birth | 25 Aug 2003 |
| Plan | GOLD PPO |
| Covered from | 17 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 96.60 |
| Total | 96.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001251 | 26 Mar 2026 | 515.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 515.00 |
| CLM0001250 | 9 Aug 2024 | 483.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001252 | 8 Feb 2024 | 548.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 114.43 |