WENDY ANDERSON
Subscriber on policy B08M000613
Claims
2
Attributed to this person
Charged
1,128.00
Total submitted
Denied
0.00
0 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 ANDERSON |
| Role on the policy | Subscriber |
| Policy | B08M000613 |
| Date of birth | 5 Sep 1973 |
| Plan | BRONZE EPO |
| Covered from | 24 Feb 2025 |
| Covered to | 1 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002792 | 31 Oct 2025 | 419.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002791 | 21 Oct 2025 | 709.00 | NORTHSTAR MUTUAL | Not denied | — |