ZARA SMITH
Subscriber on policy B08M000524
Claims
2
Attributed to this person
Charged
642.00
Total submitted
Denied
378.00
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 | ZARA SMITH |
| Role on the policy | Subscriber |
| Policy | B08M000524 |
| Date of birth | 24 Jun 1985 |
| Plan | SILVER HMO |
| Covered from | 14 Oct 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 |
|---|---|---|---|---|---|
| CLM0002390 | 25 May 2026 | 378.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 378.00 |
| CLM0002389 | 31 Mar 2025 | 264.00 | NORTHSTAR MUTUAL | Not denied | — |