ELENA ANDERSON
Subscriber on policy B01M000205
Claims
1
Attributed to this person
Charged
239.00
Total submitted
Denied
0.00
0 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 | ELENA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B01M000205 |
| Date of birth | 9 May 1999 |
| Plan | PLATINUM PPO |
| Covered from | 5 Dec 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 |
|---|---|---|---|---|---|
| CLM0000869 | 22 Aug 2025 | 239.00 | NORTHSTAR MUTUAL | Not denied | — |