YUSUF GARCIA
Dependent on policy B08M000036
Claims
1
Attributed to this person
Charged
99.00
Total submitted
Denied
23.86
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 | YUSUF GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000036 |
| Date of birth | 1 Nov 2019 |
| 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 |
|---|---|---|---|---|---|
| CLM0000153 | 9 Feb 2026 | 99.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 23.86 |