KEVIN BAKER
Dependent on policy B08M000830
Claims
3
Attributed to this person
Charged
848.00
Total submitted
Denied
184.23
2 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 | KEVIN BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000830 |
| Date of birth | 9 Oct 1948 |
| Plan | BRONZE EPO |
| Covered from | 2 Jun 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 |
|---|---|---|---|---|---|
| CLM0003705 | 3 Feb 2026 | 193.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 77.23 |
| CLM0003707 | 18 Sep 2025 | 107.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 107.00 |
| CLM0003706 | 21 Nov 2024 | 548.00 | NORTHSTAR MUTUAL | Not denied | — |