MARCUS PATEL
Dependent on policy B03M000678
Claims
2
Attributed to this person
Charged
898.00
Total submitted
Denied
898.00
2 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 | MARCUS PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000678 |
| Date of birth | 12 Apr 1995 |
| Plan | SILVER HMO |
| Covered from | 25 Nov 2024 |
| Covered to | 31 Jul 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 |
|---|---|---|---|---|---|
| CLM0002822 | 9 Jul 2025 | 315.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 315.00 |
| CLM0002821 | 9 May 2025 | 583.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 583.00 |