NADIA JOHNSON
Dependent on policy B09M000316
Claims
2
Attributed to this person
Charged
761.00
Total submitted
Denied
761.00
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 | NADIA JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000316 |
| Date of birth | 9 Feb 1966 |
| Plan | GOLD PPO |
| Covered from | 30 Sep 2024 |
| Covered to | 5 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001298 | 24 Jan 2025 | 237.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 237.00 |
| CLM0001299 | 6 Oct 2024 | 524.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 524.00 |