FIONA GARCIA
Subscriber on policy B01M000611
Claims
3
Attributed to this person
Charged
966.00
Total submitted
Denied
62.00
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 GARCIA |
| Role on the policy | Subscriber |
| Policy | B01M000611 |
| Date of birth | 9 Oct 2000 |
| Plan | PLATINUM PPO |
| Covered from | 2 Aug 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 |
|---|---|---|---|---|---|
| CLM0002723 | 11 Jun 2026 | 270.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002724 | 16 Mar 2025 | 634.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002725 | 13 Feb 2025 | 62.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 62.00 |