ZARA BAKER
Subscriber on policy B07M000289
Claims
3
Attributed to this person
Charged
1,386.00
Total submitted
Denied
899.00
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 | ZARA BAKER |
| Role on the policy | Subscriber |
| Policy | B07M000289 |
| Date of birth | 15 Jan 1987 |
| Plan | SILVER HMO |
| Covered from | 15 Jun 2025 |
| Covered to | 14 Aug 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 |
|---|---|---|---|---|---|
| CLM0001248 | 10 Jul 2025 | 487.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001250 | 20 Jun 2025 | 611.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 611.00 |
| CLM0001249 | 7 Jun 2025 | 288.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 288.00 |