KEVIN EVANS
Subscriber on policy B03M000236
Claims
3
Attributed to this person
Charged
1,703.00
Total submitted
Denied
708.00
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 EVANS |
| Role on the policy | Subscriber |
| Policy | B03M000236 |
| Date of birth | 4 Feb 2000 |
| Plan | SILVER HMO |
| Covered from | 31 Dec 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 |
|---|---|---|---|---|---|
| CLM0000955 | 29 Dec 2025 | 458.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000954 | 8 Mar 2025 | 537.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000956 | 1 Dec 2024 | 708.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 708.00 |