FIONA REYES
Dependent on policy B09M000860
Claims
3
Attributed to this person
Charged
1,796.00
Total submitted
Denied
811.00
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 | FIONA REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000860 |
| Date of birth | 2 Sep 1985 |
| Plan | GOLD PPO |
| Covered from | 11 Aug 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 |
|---|---|---|---|---|---|
| CLM0003652 | 2 Jun 2026 | 588.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003653 | 10 Apr 2026 | 811.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 811.00 |
| CLM0003654 | 5 Dec 2024 | 397.00 | NORTHSTAR MUTUAL | Not denied | — |