WENDY ANDERSON
Dependent on policy B03M000382
Claims
2
Attributed to this person
Charged
737.00
Total submitted
Denied
589.00
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 | WENDY ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000382 |
| Date of birth | 21 May 2019 |
| Plan | PLATINUM PPO |
| Covered from | 22 Jun 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 |
|---|---|---|---|---|---|
| CLM0001553 | 24 Jul 2026 | 148.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001552 | 2 Oct 2024 | 589.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 589.00 |