ELENA BAKER
Dependent on policy B06M000807
Claims
2
Attributed to this person
Charged
397.00
Total submitted
Denied
397.00
2 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 | ELENA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000807 |
| Date of birth | 8 May 2009 |
| Plan | PLATINUM PPO |
| Covered from | 8 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003556 | 20 Dec 2025 | 86.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 86.00 |
| CLM0003557 | 10 Jun 2025 | 311.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 311.00 |