VICTOR BAKER
Subscriber on policy B02M000272
Claims
3
Attributed to this person
Charged
422.00
Total submitted
Denied
181.00
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 | VICTOR BAKER |
| Role on the policy | Subscriber |
| Policy | B02M000272 |
| Date of birth | 14 Aug 1967 |
| Plan | GOLD PPO |
| Covered from | 18 Jan 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 |
|---|---|---|---|---|---|
| CLM0001189 | 6 May 2026 | 181.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 181.00 |
| CLM0001187 | 30 Apr 2025 | 115.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001188 | 3 Apr 2025 | 126.00 | NORTHSTAR MUTUAL | Not denied | — |