AMARA GARCIA
Dependent on policy B10M000340
Claims
3
Attributed to this person
Charged
1,538.00
Total submitted
Denied
621.00
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 | AMARA GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000340 |
| Date of birth | 28 Jul 1980 |
| Plan | SILVER HMO |
| Covered from | 4 Jun 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 |
|---|---|---|---|---|---|
| CLM0001420 | 11 Nov 2025 | 621.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 621.00 |
| CLM0001421 | 25 Sep 2024 | 237.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001419 | 15 Jun 2024 | 680.00 | NORTHSTAR MUTUAL | Not denied | — |