NADIA GARCIA
Subscriber on policy B10M000447
Claims
2
Attributed to this person
Charged
1,153.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
68.70
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 GARCIA |
| Role on the policy | Subscriber |
| Policy | B10M000447 |
| Date of birth | 21 Jun 1959 |
| Plan | PLATINUM PPO |
| Covered from | 20 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 68.70 |
| Total | 68.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001853 | 6 Jun 2026 | 458.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001852 | 7 May 2026 | 695.00 | NORTHSTAR MUTUAL | Not denied | — |