VICTOR ANDERSON
Subscriber on policy B01M000700
Claims
1
Attributed to this person
Charged
785.00
Total submitted
Denied
785.00
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 | VICTOR ANDERSON |
| Role on the policy | Subscriber |
| Policy | B01M000700 |
| Date of birth | 20 Dec 1973 |
| Plan | SILVER HMO |
| Covered from | 4 Jun 2025 |
| Covered to | 11 Aug 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 |
|---|---|---|---|---|---|
| CLM0003130 | 30 Aug 2025 | 785.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 785.00 |