FIONA PATEL
Subscriber on policy B09M000429
Claims
1
Attributed to this person
Charged
649.00
Total submitted
Denied
163.38
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 | FIONA PATEL |
| Role on the policy | Subscriber |
| Policy | B09M000429 |
| Date of birth | 27 Nov 1979 |
| Plan | PLATINUM PPO |
| Covered from | 1 Jun 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 |
|---|---|---|---|---|---|
| CLM0001799 | 29 Sep 2025 | 649.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 163.38 |