BRIAN CHEN
Subscriber on policy B07M000155
Claims
2
Attributed to this person
Charged
1,082.00
Total submitted
Denied
1,082.00
2 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 | BRIAN CHEN |
| Role on the policy | Subscriber |
| Policy | B07M000155 |
| Date of birth | 3 Aug 1989 |
| Plan | BRONZE EPO |
| Covered from | 4 Jun 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 |
|---|---|---|---|---|---|
| CLM0000634 | 31 Jul 2026 | 866.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 866.00 |
| CLM0000633 | 16 Feb 2025 | 216.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 216.00 |