BRIAN PATEL
Dependent on policy B05M000542
Claims
3
Attributed to this person
Charged
1,788.00
Total submitted
Denied
237.05
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 | BRIAN PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000542 |
| Date of birth | 17 Jan 2002 |
| Plan | PLATINUM PPO |
| Covered from | 27 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 |
|---|---|---|---|---|---|
| CLM0002319 | 29 Sep 2025 | 863.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 237.05 |
| CLM0002320 | 12 Aug 2024 | 686.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002318 | 29 Jun 2024 | 239.00 | NORTHSTAR MUTUAL | Not denied | — |