BRIAN BAKER
Dependent on policy B08M000372
Claims
2
Attributed to this person
Charged
1,034.00
Total submitted
Denied
284.00
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 | B08M000372 |
| Date of birth | 14 Apr 1969 |
| Plan | PLATINUM PPO |
| Covered from | 27 May 2024 |
| Covered to | 7 Dec 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 |
|---|---|---|---|---|---|
| CLM0001696 | 2 Feb 2025 | 284.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 284.00 |
| CLM0001697 | 21 Sep 2024 | 750.00 | NORTHSTAR MUTUAL | Not denied | — |