KEVIN SMITH
Dependent on policy B05M000435
Claims
2
Attributed to this person
Charged
774.00
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 | KEVIN SMITH |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000435 |
| Date of birth | 26 Nov 1991 |
| Plan | PLATINUM PPO |
| Covered from | 24 Aug 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 |
|---|---|---|---|---|---|
| CLM0001837 | 14 Nov 2025 | 528.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001836 | 4 Nov 2025 | 246.00 | NORTHSTAR MUTUAL | Not denied | — |