NADIA BAKER
Subscriber on policy B09M000359
Claims
3
Attributed to this person
Charged
1,756.00
Total submitted
Denied
1,328.00
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 BAKER |
| Role on the policy | Subscriber |
| Policy | B09M000359 |
| Date of birth | 26 Jun 2000 |
| Plan | PLATINUM PPO |
| Covered from | 16 Jul 2024 |
| Covered to | 17 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001483 | 25 Nov 2024 | 615.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 615.00 |
| CLM0001482 | 13 Oct 2024 | 428.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001484 | 9 Sep 2024 | 713.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 713.00 |