WENDY GARCIA
Subscriber on policy B03M000860
Claims
3
Attributed to this person
Charged
610.00
Total submitted
Denied
78.00
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 | WENDY GARCIA |
| Role on the policy | Subscriber |
| Policy | B03M000860 |
| Date of birth | 5 Sep 1977 |
| Plan | PLATINUM PPO |
| Covered from | 11 May 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 |
|---|---|---|---|---|---|
| CLM0003726 | 22 Aug 2026 | 378.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003728 | 18 Oct 2025 | 78.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 78.00 |
| CLM0003727 | 8 Sep 2025 | 154.00 | NORTHSTAR MUTUAL | Not denied | — |