SOFIA EVANS
Subscriber on policy B09M000435
Claims
3
Attributed to this person
Charged
759.00
Total submitted
Denied
0.00
0 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 | SOFIA EVANS |
| Role on the policy | Subscriber |
| Policy | B09M000435 |
| Date of birth | 14 Jul 1980 |
| Plan | SILVER HMO |
| Covered from | 19 Jun 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001818 | 7 Feb 2026 | 466.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001819 | 27 Dec 2025 | 94.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001820 | 1 Feb 2025 | 199.00 | NORTHSTAR MUTUAL | Not denied | — |