FIONA JOHNSON
Subscriber on policy B06M000435
Claims
2
Attributed to this person
Charged
860.00
Total submitted
Denied
85.00
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 | FIONA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B06M000435 |
| Date of birth | 28 Sep 1977 |
| Plan | GOLD PPO |
| Covered from | 23 Nov 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 |
|---|---|---|---|---|---|
| CLM0002002 | 29 Nov 2025 | 85.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 85.00 |
| CLM0002003 | 4 Mar 2025 | 775.00 | NORTHSTAR MUTUAL | Not denied | — |