LEILA PATEL
Dependent on policy B06M000576
Claims
1
Attributed to this person
Charged
816.00
Total submitted
Denied
0.00
0 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 | LEILA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000576 |
| Date of birth | 23 Oct 1979 |
| Plan | PLATINUM PPO |
| Covered from | 29 Dec 2024 |
| Covered to | 5 Apr 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 |
|---|---|---|---|---|---|
| CLM0002577 | 10 Mar 2025 | 816.00 | NORTHSTAR MUTUAL | Not denied | — |