FIONA GARCIA
Subscriber on policy B03M000665
Claims
2
Attributed to this person
Charged
1,208.00
Total submitted
Denied
670.00
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 | FIONA GARCIA |
| Role on the policy | Subscriber |
| Policy | B03M000665 |
| Date of birth | 8 Feb 2002 |
| Plan | SILVER HMO |
| Covered from | 3 Jan 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 |
|---|---|---|---|---|---|
| CLM0002758 | 27 Sep 2025 | 538.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002757 | 10 Jul 2024 | 670.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 670.00 |