NADIA CHEN
Subscriber on policy B09M000067
Claims
2
Attributed to this person
Charged
538.00
Total submitted
Denied
341.06
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 | NADIA CHEN |
| Role on the policy | Subscriber |
| Policy | B09M000067 |
| Date of birth | 10 Mar 1998 |
| Plan | BRONZE EPO |
| Covered from | 26 Nov 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 |
|---|---|---|---|---|---|
| CLM0000296 | 29 Mar 2025 | 367.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 170.06 |
| CLM0000297 | 5 Dec 2024 | 171.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 171.00 |