AMARA CHEN
Subscriber on policy B10M000704
Claims
3
Attributed to this person
Charged
1,466.00
Total submitted
Denied
573.00
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 | AMARA CHEN |
| Role on the policy | Subscriber |
| Policy | B10M000704 |
| Date of birth | 10 May 1986 |
| Plan | SILVER HMO |
| Covered from | 23 Feb 2025 |
| Covered to | 12 Oct 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 |
|---|---|---|---|---|---|
| CLM0002947 | 15 Aug 2025 | 307.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 307.00 |
| CLM0002946 | 30 Jul 2025 | 893.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002945 | 15 Feb 2025 | 266.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 266.00 |