KEVIN PATEL
Dependent on policy B10M000197
Claims
2
Attributed to this person
Charged
990.00
Total submitted
Denied
359.00
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 | KEVIN PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000197 |
| Date of birth | 28 Mar 1947 |
| Plan | BRONZE EPO |
| Covered from | 30 Jul 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 |
|---|---|---|---|---|---|
| CLM0000813 | 26 Mar 2026 | 631.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000814 | 14 Oct 2025 | 359.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 359.00 |