ZARA ANDERSON
Subscriber on policy B04M000506
Claims
3
Attributed to this person
Charged
1,330.00
Total submitted
Denied
692.00
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 | ZARA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B04M000506 |
| Date of birth | 21 Apr 2001 |
| Plan | BRONZE EPO |
| Covered from | 21 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 |
|---|---|---|---|---|---|
| CLM0002175 | 7 Jul 2026 | 467.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002174 | 8 Dec 2024 | 171.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002176 | 7 Sep 2024 | 692.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 692.00 |