FIONA CHEN
Dependent on policy B06M000587
Claims
3
Attributed to this person
Charged
2,123.00
Total submitted
Denied
864.00
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 | FIONA CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000587 |
| Date of birth | 26 Jul 1971 |
| Plan | SILVER HMO |
| Covered from | 18 Feb 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 |
|---|---|---|---|---|---|
| CLM0002641 | 16 Jul 2026 | 462.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002642 | 11 Jun 2026 | 864.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 864.00 |
| CLM0002640 | 24 Dec 2025 | 797.00 | NORTHSTAR MUTUAL | Not denied | — |