AMARA REYES
Subscriber on policy B02M000595
Claims
3
Attributed to this person
Charged
1,880.00
Total submitted
Denied
477.67
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 REYES |
| Role on the policy | Subscriber |
| Policy | B02M000595 |
| Date of birth | 24 Jan 1966 |
| Plan | PLATINUM PPO |
| Covered from | 27 Sep 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002490 | 27 Apr 2026 | 619.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002491 | 3 Sep 2025 | 371.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 88.24 |
| CLM0002492 | 4 Oct 2024 | 890.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 389.43 |