WENDY JOHNSON
Subscriber on policy B08M000436
Claims
2
Attributed to this person
Charged
883.00
Total submitted
Denied
348.00
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 | WENDY JOHNSON |
| Role on the policy | Subscriber |
| Policy | B08M000436 |
| Date of birth | 18 May 1988 |
| Plan | SILVER HMO |
| Covered from | 17 May 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 |
|---|---|---|---|---|---|
| CLM0001999 | 16 Mar 2026 | 348.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 348.00 |
| CLM0001998 | 30 Apr 2025 | 535.00 | NORTHSTAR MUTUAL | Not denied | — |