SOFIA PATEL
Dependent on policy B07M000116
Claims
3
Attributed to this person
Charged
1,939.00
Total submitted
Denied
254.92
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 | SOFIA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000116 |
| Date of birth | 2 Sep 1991 |
| Plan | GOLD PPO |
| Covered from | 21 Aug 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 |
|---|---|---|---|---|---|
| CLM0000477 | 7 Mar 2026 | 518.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000475 | 2 Mar 2026 | 823.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 254.92 |
| CLM0000476 | 25 Feb 2025 | 598.00 | NORTHSTAR MUTUAL | Not denied | — |