HENRY CHEN
Subscriber on policy B06M000573
Claims
2
Attributed to this person
Charged
741.00
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 | HENRY CHEN |
| Role on the policy | Subscriber |
| Policy | B06M000573 |
| Date of birth | 8 Jun 2003 |
| Plan | PLATINUM PPO |
| Covered from | 29 Apr 2025 |
| Covered to | 19 Aug 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002561 | 29 Jun 2025 | 110.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002562 | 25 Jun 2025 | 631.00 | NORTHSTAR MUTUAL | Not denied | — |