YUSUF ANDERSON
Subscriber on policy B06M000306
Claims
2
Attributed to this person
Charged
861.00
Total submitted
Denied
96.00
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 | YUSUF ANDERSON |
| Role on the policy | Subscriber |
| Policy | B06M000306 |
| Date of birth | 7 Jun 1966 |
| Plan | SILVER HMO |
| Covered from | 6 Oct 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 |
|---|---|---|---|---|---|
| CLM0001397 | 29 May 2025 | 765.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001398 | 8 Feb 2025 | 96.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 96.00 |