UMA CHEN
Subscriber on policy B03M000042
Claims
3
Attributed to this person
Charged
1,727.00
Total submitted
Denied
691.00
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 | UMA CHEN |
| Role on the policy | Subscriber |
| Policy | B03M000042 |
| Date of birth | 4 Jun 1961 |
| Plan | GOLD PPO |
| Covered from | 22 Apr 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 |
|---|---|---|---|---|---|
| CLM0000188 | 22 Jun 2026 | 460.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000189 | 4 Mar 2026 | 576.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000190 | 28 Aug 2025 | 691.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 691.00 |