WENDY JOHNSON
Subscriber on policy B05M000535
Claims
3
Attributed to this person
Charged
903.00
Total submitted
Denied
145.00
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 | WENDY JOHNSON |
| Role on the policy | Subscriber |
| Policy | B05M000535 |
| Date of birth | 10 May 1961 |
| Plan | SILVER HMO |
| Covered from | 12 May 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 |
|---|---|---|---|---|---|
| CLM0002278 | 7 Feb 2026 | 486.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002279 | 6 Jul 2025 | 272.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002280 | 10 Feb 2025 | 145.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 145.00 |