UMA JOHNSON
Subscriber on policy B08M000680
Claims
2
Attributed to this person
Charged
1,333.00
Total submitted
Denied
858.00
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 | UMA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B08M000680 |
| Date of birth | 17 Mar 1997 |
| Plan | PLATINUM PPO |
| Covered from | 3 Dec 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 |
|---|---|---|---|---|---|
| CLM0003069 | 18 May 2026 | 858.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 858.00 |
| CLM0003068 | 12 May 2026 | 475.00 | NORTHSTAR MUTUAL | Not denied | — |