PRIYA PATEL
Subscriber on policy B05M000833
Claims
1
Attributed to this person
Charged
850.00
Total submitted
Denied
850.00
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 | PRIYA PATEL |
| Role on the policy | Subscriber |
| Policy | B05M000833 |
| Date of birth | 14 Jul 2003 |
| Plan | SILVER HMO |
| Covered from | 11 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 |
|---|---|---|---|---|---|
| CLM0003535 | 24 Nov 2025 | 850.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 850.00 |