KEVIN GARCIA
Dependent on policy B02M000328
Claims
1
Attributed to this person
Charged
223.00
Total submitted
Denied
223.00
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 | KEVIN GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000328 |
| Date of birth | 2 Aug 1972 |
| Plan | PLATINUM PPO |
| Covered from | 9 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001400 | 4 Jun 2026 | 223.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 223.00 |