IVAN CHEN
Subscriber on policy B02M000483
Claims
3
Attributed to this person
Charged
1,397.00
Total submitted
Denied
734.35
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 | IVAN CHEN |
| Role on the policy | Subscriber |
| Policy | B02M000483 |
| Date of birth | 10 Apr 1951 |
| Plan | SILVER HMO |
| Covered from | 3 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 |
|---|---|---|---|---|---|
| CLM0002055 | 1 Feb 2026 | 589.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002057 | 7 Jan 2026 | 714.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 714.00 |
| CLM0002056 | 14 Oct 2025 | 94.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 20.35 |