AMARA BAKER
Subscriber on policy B09M000711
Claims
2
Attributed to this person
Charged
435.00
Total submitted
Denied
329.00
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 | AMARA BAKER |
| Role on the policy | Subscriber |
| Policy | B09M000711 |
| Date of birth | 13 Aug 1992 |
| Plan | SILVER HMO |
| Covered from | 10 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003015 | 30 Aug 2025 | 106.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003016 | 1 Aug 2025 | 329.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 329.00 |