CARLA GARCIA
Dependent on policy B08M000318
Claims
3
Attributed to this person
Charged
829.00
Total submitted
Denied
337.00
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 | CARLA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000318 |
| Date of birth | 25 Apr 1973 |
| Plan | SILVER HMO |
| Covered from | 20 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001466 | 30 Mar 2026 | 390.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001467 | 24 Mar 2026 | 102.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001468 | 29 Mar 2025 | 337.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 337.00 |