PRIYA REYES
Subscriber on policy B01M000740
Claims
3
Attributed to this person
Charged
2,014.00
Total submitted
Denied
279.02
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 | PRIYA REYES |
| Role on the policy | Subscriber |
| Policy | B01M000740 |
| Date of birth | 30 Aug 1963 |
| Plan | BRONZE EPO |
| Covered from | 15 Jan 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 |
|---|---|---|---|---|---|
| CLM0003287 | 28 Mar 2026 | 747.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 279.02 |
| CLM0003286 | 13 Sep 2025 | 461.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003285 | 13 Mar 2025 | 806.00 | NORTHSTAR MUTUAL | Not denied | — |