KEVIN GARCIA
Dependent on policy B06M000053
Claims
1
Attributed to this person
Charged
672.00
Total submitted
Denied
672.00
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 | KEVIN GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000053 |
| Date of birth | 14 Sep 2020 |
| Plan | GOLD PPO |
| Covered from | 30 Jul 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 |
|---|---|---|---|---|---|
| CLM0000300 | 25 May 2025 | 672.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 672.00 |