NADIA ANDERSON
Subscriber on policy B04M000235
Claims
3
Attributed to this person
Charged
911.00
Total submitted
Denied
299.00
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 | NADIA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B04M000235 |
| Date of birth | 20 Jul 1971 |
| Plan | BRONZE EPO |
| Covered from | 20 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 |
|---|---|---|---|---|---|
| CLM0001018 | 27 Dec 2025 | 127.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001019 | 20 Jun 2025 | 485.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001020 | 10 Jan 2025 | 299.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 299.00 |