SOFIA GARCIA
Subscriber on policy B08M000611
Claims
2
Attributed to this person
Charged
575.00
Total submitted
Denied
0.00
0 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 | SOFIA GARCIA |
| Role on the policy | Subscriber |
| Policy | B08M000611 |
| Date of birth | 11 Aug 1993 |
| Plan | SILVER HMO |
| Covered from | 26 Apr 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 |
|---|---|---|---|---|---|
| CLM0002784 | 29 Jul 2026 | 390.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002783 | 26 Oct 2024 | 185.00 | NORTHSTAR MUTUAL | Not denied | — |