MARCUS GARCIA
Dependent on policy B08M000036
Claims
2
Attributed to this person
Charged
1,258.00
Total submitted
Denied
725.00
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 | MARCUS GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000036 |
| Date of birth | 19 Jan 2008 |
| Plan | GOLD PPO |
| Covered from | 31 Dec 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 |
|---|---|---|---|---|---|
| CLM0000152 | 16 Oct 2025 | 725.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 725.00 |
| CLM0000151 | 20 May 2025 | 533.00 | NORTHSTAR MUTUAL | Not denied | — |