SOFIA BAKER
Dependent on policy B05M000443
Claims
3
Attributed to this person
Charged
1,603.00
Total submitted
Denied
651.00
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 | SOFIA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000443 |
| Date of birth | 17 Aug 2002 |
| Plan | PLATINUM PPO |
| Covered from | 24 Mar 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 |
|---|---|---|---|---|---|
| CLM0001868 | 10 Feb 2026 | 718.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001867 | 8 May 2025 | 234.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001866 | 3 Jan 2025 | 651.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 651.00 |