VICTOR PATEL
Subscriber on policy B03M000630
Claims
1
Attributed to this person
Charged
374.00
Total submitted
Denied
374.00
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 PATEL |
| Role on the policy | Subscriber |
| Policy | B03M000630 |
| Date of birth | 5 Jan 1970 |
| Plan | PLATINUM PPO |
| Covered from | 11 Apr 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 |
|---|---|---|---|---|---|
| CLM0002598 | 20 Jun 2026 | 374.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 374.00 |