SOFIA OKAFOR
Dependent on policy B05M000073
Claims
3
Attributed to this person
Charged
866.00
Total submitted
Denied
337.19
3 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 | Dependent · relationship 19 |
| Policy | B05M000073 |
| Date of birth | 17 Sep 2004 |
| Plan | SILVER HMO |
| Covered from | 27 Jan 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 |
|---|---|---|---|---|---|
| CLM0000339 | 31 Jul 2026 | 125.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 125.00 |
| CLM0000340 | 19 Mar 2026 | 187.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 187.00 |
| CLM0000338 | 21 Sep 2024 | 554.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 25.19 |