MARCUS ANDERSON
Subscriber on policy B09M000203
Claims
3
Attributed to this person
Charged
1,059.00
Total submitted
Denied
134.00
1 denied claims
Patient responsibility
12.80
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 | MARCUS ANDERSON |
| Role on the policy | Subscriber |
| Policy | B09M000203 |
| Date of birth | 8 Nov 1989 |
| Plan | BRONZE EPO |
| Covered from | 3 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 12.80 |
| Total | 12.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000845 | 1 Jul 2026 | 64.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000847 | 8 Oct 2025 | 861.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000846 | 10 Apr 2025 | 134.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 134.00 |