DAVID PATEL
Dependent on policy B07M000116
Claims
3
Attributed to this person
Charged
1,488.00
Total submitted
Denied
250.00
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 | DAVID PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000116 |
| Date of birth | 5 Nov 2012 |
| 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 |
|---|---|---|---|---|---|
| CLM0000480 | 2 Dec 2025 | 250.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 250.00 |
| CLM0000481 | 31 Jul 2025 | 874.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000479 | 7 Dec 2024 | 364.00 | NORTHSTAR MUTUAL | Not denied | — |