MARCUS PATEL
Dependent on policy B05M000222
Claims
2
Attributed to this person
Charged
460.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
26.85
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 | MARCUS PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000222 |
| Date of birth | 31 Jul 1944 |
| Plan | PLATINUM PPO |
| Covered from | 6 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 26.85 |
| Total | 26.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000922 | 28 Mar 2026 | 281.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000921 | 29 Jan 2026 | 179.00 | NORTHSTAR MUTUAL | Not denied | — |