AMARA REYES
Subscriber on policy B07M000325
Claims
1
Attributed to this person
Charged
664.00
Total submitted
Denied
664.00
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 | AMARA REYES |
| Role on the policy | Subscriber |
| Policy | B07M000325 |
| Date of birth | 27 Sep 1961 |
| Plan | GOLD PPO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0001391 | 20 May 2024 | 664.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 664.00 |