HENRY JOHNSON
Subscriber on policy B04M000216
Claims
1
Attributed to this person
Charged
299.00
Total submitted
Denied
124.03
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 | HENRY JOHNSON |
| Role on the policy | Subscriber |
| Policy | B04M000216 |
| Date of birth | 2 Jun 2000 |
| Plan | GOLD PPO |
| Covered from | 20 Feb 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 |
|---|---|---|---|---|---|
| CLM0000951 | 9 Jul 2026 | 299.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 124.03 |