WENDY OKAFOR
Dependent on policy B05M000852
Claims
3
Attributed to this person
Charged
1,742.00
Total submitted
Denied
126.03
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 | WENDY OKAFOR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000852 |
| Date of birth | 25 Oct 1963 |
| Plan | PLATINUM PPO |
| Covered from | 12 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 |
|---|---|---|---|---|---|
| CLM0003615 | 14 Aug 2026 | 525.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003616 | 23 Sep 2024 | 422.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 126.03 |
| CLM0003617 | 15 Jan 2024 | 795.00 | NORTHSTAR MUTUAL | Not denied | — |