ZARA PATEL
Subscriber on policy B10M000197
Claims
3
Attributed to this person
Charged
785.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
62.10
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 | ZARA PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000197 |
| Date of birth | 23 Oct 1954 |
| Plan | BRONZE EPO |
| Covered from | 30 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 62.10 |
| Total | 62.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000811 | 25 Nov 2025 | 414.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000812 | 24 Mar 2025 | 110.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000810 | 4 Jan 2025 | 261.00 | NORTHSTAR MUTUAL | Not denied | — |