FIONA PATEL
Dependent on policy B09M000517
Claims
2
Attributed to this person
Charged
1,675.00
Total submitted
Denied
332.53
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 | Dependent · relationship 19 |
| Policy | B09M000517 |
| Date of birth | 22 Nov 2023 |
| Plan | PLATINUM PPO |
| Covered from | 8 Oct 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 |
|---|---|---|---|---|---|
| CLM0002191 | 31 Dec 2025 | 869.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 332.53 |
| CLM0002190 | 26 Nov 2025 | 806.00 | NORTHSTAR MUTUAL | Not denied | — |