WENDY PATEL
Dependent on policy B08M000777
Claims
2
Attributed to this person
Charged
569.00
Total submitted
Denied
508.00
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 PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000777 |
| Date of birth | 17 Apr 1962 |
| Plan | PLATINUM PPO |
| Covered from | 16 Feb 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 |
|---|---|---|---|---|---|
| CLM0003473 | 23 Oct 2025 | 61.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003472 | 31 Oct 2024 | 508.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 508.00 |