UMA ANDERSON
Subscriber on policy B05M000205
Claims
2
Attributed to this person
Charged
1,223.00
Total submitted
Denied
202.18
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 | UMA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B05M000205 |
| Date of birth | 11 Jul 1974 |
| Plan | PLATINUM PPO |
| Covered from | 1 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 |
|---|---|---|---|---|---|
| CLM0000859 | 28 Jul 2026 | 801.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000860 | 2 Dec 2025 | 422.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 202.18 |