KEVIN CHEN
Subscriber on policy B02M000565
Claims
3
Attributed to this person
Charged
860.00
Total submitted
Denied
543.00
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 CHEN |
| Role on the policy | Subscriber |
| Policy | B02M000565 |
| Date of birth | 1 Apr 1955 |
| Plan | GOLD PPO |
| Covered from | 22 Jan 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 |
|---|---|---|---|---|---|
| CLM0002374 | 13 Apr 2026 | 156.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002375 | 18 May 2025 | 543.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 543.00 |
| CLM0002376 | 2 Apr 2025 | 161.00 | NORTHSTAR MUTUAL | Not denied | — |