NADIA EVANS
Dependent on policy B06M000819
Claims
3
Attributed to this person
Charged
1,010.00
Total submitted
Denied
639.00
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 | NADIA EVANS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000819 |
| Date of birth | 22 Jul 1993 |
| Plan | GOLD PPO |
| Covered from | 3 Apr 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 |
|---|---|---|---|---|---|
| CLM0003592 | 21 Jul 2026 | 371.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003590 | 31 Mar 2025 | 518.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 518.00 |
| CLM0003591 | 22 Mar 2025 | 121.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 121.00 |