BRIAN JOHNSON
Subscriber on policy B09M000287
Claims
3
Attributed to this person
Charged
869.00
Total submitted
Denied
188.00
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 | BRIAN JOHNSON |
| Role on the policy | Subscriber |
| Policy | B09M000287 |
| Date of birth | 17 Apr 1977 |
| Plan | SILVER HMO |
| Covered from | 30 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001188 | 30 May 2026 | 188.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 188.00 |
| CLM0001187 | 14 Dec 2025 | 260.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001186 | 27 Feb 2025 | 421.00 | NORTHSTAR MUTUAL | Not denied | — |