JULIA JOHNSON
Subscriber on policy B04M000260
Claims
2
Attributed to this person
Charged
639.00
Total submitted
Denied
351.00
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 | JULIA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B04M000260 |
| Date of birth | 15 May 1986 |
| Plan | SILVER HMO |
| Covered from | 6 Sep 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 |
|---|---|---|---|---|---|
| CLM0001124 | 7 Jul 2025 | 351.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 351.00 |
| CLM0001123 | 6 Nov 2024 | 288.00 | NORTHSTAR MUTUAL | Not denied | — |