UMA ANDERSON
Subscriber on policy B07M000083
Claims
1
Attributed to this person
Charged
334.00
Total submitted
Denied
96.96
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 โ 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 | UMA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B07M000083 |
| Date of birth | 24 Feb 1952 |
| Plan | SILVER HMO |
| Covered from | 9 Feb 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000343 | 4 Aug 2025 | 334.00 | NORTHSTAR MUTUAL | CARC 27 ยท ELIGIBILITY | 96.96 |