AMARA GARCIA
Subscriber on policy B06M000255
Claims
3
Attributed to this person
Charged
894.00
Total submitted
Denied
0.00
0 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 | AMARA GARCIA |
| Role on the policy | Subscriber |
| Policy | B06M000255 |
| Date of birth | 19 Mar 1987 |
| Plan | BRONZE EPO |
| Covered from | 2 Nov 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 |
|---|---|---|---|---|---|
| CLM0001211 | 7 Jul 2026 | 216.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001212 | 14 Feb 2026 | 608.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001213 | 1 Aug 2025 | 70.00 | NORTHSTAR MUTUAL | Not denied | — |