UMA BAKER
Dependent on policy B07M000187
Claims
2
Attributed to this person
Charged
1,203.00
Total submitted
Denied
795.00
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 | UMA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000187 |
| Date of birth | 21 Jun 2008 |
| Plan | BRONZE EPO |
| Covered from | 19 Mar 2025 |
| Covered to | 6 Nov 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 |
|---|---|---|---|---|---|
| CLM0000784 | 5 Jan 2026 | 795.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 795.00 |
| CLM0000783 | 30 May 2025 | 408.00 | NORTHSTAR MUTUAL | Not denied | — |