BRIAN OKAFOR
Dependent on policy B05M000272
Claims
2
Attributed to this person
Charged
418.00
Total submitted
Denied
333.00
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 | BRIAN OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000272 |
| Date of birth | 12 Jun 1952 |
| Plan | GOLD PPO |
| Covered from | 24 Jan 2025 |
| Covered to | 30 Jun 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 |
|---|---|---|---|---|---|
| CLM0001126 | 27 Apr 2025 | 333.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 333.00 |
| CLM0001125 | 9 Mar 2025 | 85.00 | NORTHSTAR MUTUAL | Not denied | — |