BRIAN JOHNSON
Dependent on policy B01M000398
Claims
3
Attributed to this person
Charged
892.00
Total submitted
Denied
127.00
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 | BRIAN JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000398 |
| Date of birth | 29 Aug 2008 |
| Plan | PLATINUM PPO |
| Covered from | 26 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001772 | 10 Feb 2026 | 317.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001773 | 23 Jun 2025 | 448.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001774 | 8 Jan 2025 | 127.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 127.00 |