SOFIA BAKER
Dependent on policy B09M000640
Claims
3
Attributed to this person
Charged
1,267.00
Total submitted
Denied
902.00
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 | SOFIA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000640 |
| Date of birth | 15 Jul 1969 |
| Plan | PLATINUM PPO |
| Covered from | 30 Apr 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 |
|---|---|---|---|---|---|
| CLM0002719 | 14 Aug 2026 | 411.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 411.00 |
| CLM0002720 | 3 Jun 2026 | 491.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 491.00 |
| CLM0002721 | 13 Sep 2025 | 365.00 | NORTHSTAR MUTUAL | Not denied | — |