JULIA PATEL
Subscriber on policy B07M000409
Claims
2
Attributed to this person
Charged
818.00
Total submitted
Denied
818.00
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 | JULIA PATEL |
| Role on the policy | Subscriber |
| Policy | B07M000409 |
| Date of birth | 25 Aug 1993 |
| Plan | SILVER HMO |
| Covered from | 23 Jan 2024 |
| Covered to | 11 May 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001730 | 26 Feb 2024 | 725.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 725.00 |
| CLM0001729 | 24 Dec 2023 | 93.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 93.00 |