YUSUF BAKER
Subscriber on policy B06M000774
Claims
3
Attributed to this person
Charged
789.00
Total submitted
Denied
187.00
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 BAKER |
| Role on the policy | Subscriber |
| Policy | B06M000774 |
| Date of birth | 18 Jul 1997 |
| Plan | GOLD PPO |
| Covered from | 13 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 |
|---|---|---|---|---|---|
| CLM0003415 | 1 Aug 2026 | 344.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003413 | 21 Jun 2025 | 258.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003414 | 20 Dec 2024 | 187.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 187.00 |