BRIAN BAKER
Dependent on policy B08M000341
Claims
3
Attributed to this person
Charged
754.00
Total submitted
Denied
570.00
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 | BRIAN BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000341 |
| Date of birth | 17 Jun 1944 |
| Plan | GOLD PPO |
| Covered from | 16 Sep 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 |
|---|---|---|---|---|---|
| CLM0001576 | 15 Jan 2026 | 67.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001574 | 16 Feb 2025 | 570.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 570.00 |
| CLM0001575 | 19 Jan 2025 | 117.00 | NORTHSTAR MUTUAL | Not denied | — |