WENDY CHEN
Subscriber on policy B08M000621
Claims
3
Attributed to this person
Charged
1,065.00
Total submitted
Denied
85.17
2 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 | WENDY CHEN |
| Role on the policy | Subscriber |
| Policy | B08M000621 |
| Date of birth | 20 Oct 1986 |
| Plan | SILVER HMO |
| Covered from | 29 May 2025 |
| Covered to | 23 Mar 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002827 | 20 Nov 2025 | 848.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002829 | 22 Jul 2025 | 142.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 48.44 |
| CLM0002828 | 29 Jun 2025 | 75.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 36.73 |