PRIYA EVANS
Subscriber on policy B06M000198
Claims
3
Attributed to this person
Charged
1,771.00
Total submitted
Denied
459.00
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 | PRIYA EVANS |
| Role on the policy | Subscriber |
| Policy | B06M000198 |
| Date of birth | 6 Apr 1973 |
| Plan | PLATINUM PPO |
| Covered from | 11 Mar 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 |
|---|---|---|---|---|---|
| CLM0000965 | 12 Apr 2026 | 753.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000964 | 7 Mar 2026 | 559.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000966 | 1 Mar 2024 | 459.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 459.00 |