JULIA BAKER
Dependent on policy B06M000807
Claims
1
Attributed to this person
Charged
78.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
11.70
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 | JULIA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000807 |
| Date of birth | 29 Sep 2014 |
| Plan | PLATINUM PPO |
| Covered from | 8 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 11.70 |
| Total | 11.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003558 | 17 Jan 2026 | 78.00 | NORTHSTAR MUTUAL | Not denied | — |