ELENA BAKER
Subscriber on policy B01M000833
Claims
3
Attributed to this person
Charged
1,846.00
Total submitted
Denied
1,030.00
2 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 | ELENA BAKER |
| Role on the policy | Subscriber |
| Policy | B01M000833 |
| Date of birth | 21 Feb 1979 |
| Plan | SILVER HMO |
| Covered from | 11 May 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 |
|---|---|---|---|---|---|
| CLM0003698 | 20 Oct 2025 | 743.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 743.00 |
| CLM0003699 | 18 Sep 2025 | 287.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 287.00 |
| CLM0003700 | 21 Aug 2025 | 816.00 | NORTHSTAR MUTUAL | Not denied | — |