BRIAN CHEN
Dependent on policy B09M000746
Claims
3
Attributed to this person
Charged
1,262.00
Total submitted
Denied
974.00
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 | BRIAN CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000746 |
| Date of birth | 10 May 2000 |
| Plan | GOLD PPO |
| Covered from | 3 May 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 |
|---|---|---|---|---|---|
| CLM0003162 | 15 Feb 2026 | 288.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003161 | 25 Aug 2025 | 779.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 779.00 |
| CLM0003160 | 17 Nov 2024 | 195.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 195.00 |