ELENA PATEL
Subscriber on policy B08M000305
Claims
3
Attributed to this person
Charged
1,902.00
Total submitted
Denied
369.00
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 | ELENA PATEL |
| Role on the policy | Subscriber |
| Policy | B08M000305 |
| Date of birth | 19 Mar 1981 |
| Plan | GOLD PPO |
| Covered from | 26 Feb 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 |
|---|---|---|---|---|---|
| CLM0001416 | 18 Jun 2025 | 733.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001417 | 18 May 2025 | 800.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001415 | 20 Feb 2025 | 369.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 369.00 |