TOMAS PATEL
Subscriber on policy B02M000898
Claims
1
Attributed to this person
Charged
737.00
Total submitted
Denied
737.00
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 | TOMAS PATEL |
| Role on the policy | Subscriber |
| Policy | B02M000898 |
| Date of birth | 26 Apr 1982 |
| Plan | SILVER HMO |
| Covered from | 28 Apr 2025 |
| Covered to | 20 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003718 | 12 May 2025 | 737.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 737.00 |