ZARA JOHNSON
Dependent on policy B01M000183
Claims
3
Attributed to this person
Charged
785.00
Total submitted
Denied
16.55
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 JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000183 |
| Date of birth | 5 Sep 1956 |
| Plan | PLATINUM PPO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0000779 | 2 Mar 2026 | 218.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 16.55 |
| CLM0000778 | 19 Mar 2025 | 483.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000777 | 20 Feb 2025 | 84.00 | NORTHSTAR MUTUAL | Not denied | — |