AMARA JOHNSON
Dependent on policy B06M000260
Claims
3
Attributed to this person
Charged
683.00
Total submitted
Denied
341.00
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 | AMARA JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000260 |
| Date of birth | 4 Sep 2023 |
| Plan | GOLD PPO |
| Covered from | 27 Mar 2025 |
| Covered to | 8 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 |
|---|---|---|---|---|---|
| CLM0001232 | 28 Apr 2025 | 272.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001234 | 6 Apr 2025 | 70.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001233 | 25 Feb 2025 | 341.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 341.00 |