NADIA BAKER
Subscriber on policy B02M000764
Claims
2
Attributed to this person
Charged
1,403.00
Total submitted
Denied
235.09
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 | NADIA BAKER |
| Role on the policy | Subscriber |
| Policy | B02M000764 |
| Date of birth | 22 Jan 1990 |
| Plan | GOLD PPO |
| Covered from | 8 May 2025 |
| Covered to | 6 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003181 | 21 Aug 2025 | 687.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003182 | 19 May 2025 | 716.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 235.09 |