DAVID PATEL
Subscriber on policy B01M000083
Claims
1
Attributed to this person
Charged
588.00
Total submitted
Denied
588.00
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 | DAVID PATEL |
| Role on the policy | Subscriber |
| Policy | B01M000083 |
| Date of birth | 25 Aug 1976 |
| Plan | GOLD PPO |
| Covered from | 26 Mar 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 |
|---|---|---|---|---|---|
| CLM0000335 | 17 Mar 2025 | 588.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 588.00 |