SOFIA PATEL
Subscriber on policy B07M000783
Claims
1
Attributed to this person
Charged
717.00
Total submitted
Denied
717.00
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 | SOFIA PATEL |
| Role on the policy | Subscriber |
| Policy | B07M000783 |
| Date of birth | 1 May 1996 |
| Plan | SILVER HMO |
| Covered from | 6 Nov 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 |
|---|---|---|---|---|---|
| CLM0003240 | 15 Jul 2025 | 717.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 717.00 |