NADIA SMITH
Subscriber on policy B09M000690
Claims
1
Attributed to this person
Charged
404.00
Total submitted
Denied
404.00
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 | NADIA SMITH |
| Role on the policy | Subscriber |
| Policy | B09M000690 |
| Date of birth | 5 Aug 1971 |
| Plan | GOLD PPO |
| Covered from | 1 Dec 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 |
|---|---|---|---|---|---|
| CLM0002943 | 4 Oct 2025 | 404.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 404.00 |