KEVIN REYES
Dependent on policy B06M000470
Claims
2
Attributed to this person
Charged
783.00
Total submitted
Denied
479.00
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 REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000470 |
| Date of birth | 23 Dec 2017 |
| Plan | SILVER HMO |
| Covered from | 9 Feb 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 |
|---|---|---|---|---|---|
| CLM0002124 | 15 Mar 2025 | 304.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002123 | 2 Jul 2024 | 479.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 479.00 |