JULIA REYES
Dependent on policy B09M000505
Claims
3
Attributed to this person
Charged
1,612.00
Total submitted
Denied
362.00
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 | JULIA REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000505 |
| Date of birth | 9 Jan 1969 |
| Plan | PLATINUM PPO |
| Covered from | 25 Jul 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 |
|---|---|---|---|---|---|
| CLM0002133 | 17 Mar 2026 | 362.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 362.00 |
| CLM0002132 | 25 Oct 2024 | 423.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002131 | 17 Aug 2024 | 827.00 | NORTHSTAR MUTUAL | Not denied | — |