PRIYA BAKER
Dependent on policy B08M000642
Claims
3
Attributed to this person
Charged
1,743.00
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 | PRIYA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000642 |
| Date of birth | 3 Feb 1992 |
| Plan | BRONZE EPO |
| Covered from | 9 Jul 2024 |
| Covered to | 23 Apr 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 |
|---|---|---|---|---|---|
| CLM0002918 | 6 Jun 2025 | 654.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002917 | 5 Mar 2025 | 824.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002916 | 23 Feb 2025 | 265.00 | NORTHSTAR MUTUAL | Not denied | — |