RAVI CHEN
Subscriber on policy B09M000211
Claims
2
Attributed to this person
Charged
905.00
Total submitted
Denied
326.00
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 | RAVI CHEN |
| Role on the policy | Subscriber |
| Policy | B09M000211 |
| Date of birth | 6 Jul 1988 |
| Plan | PLATINUM PPO |
| Covered from | 26 Feb 2025 |
| Covered to | 19 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000889 | 25 Jun 2025 | 326.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 326.00 |
| CLM0000888 | 29 Mar 2025 | 579.00 | NORTHSTAR MUTUAL | Not denied | — |