OMAR CHEN
Subscriber on policy B03M000887
Claims
3
Attributed to this person
Charged
724.00
Total submitted
Denied
0.00
0 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 | OMAR CHEN |
| Role on the policy | Subscriber |
| Policy | B03M000887 |
| Date of birth | 11 Sep 1957 |
| Plan | SILVER HMO |
| Covered from | 10 Feb 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 |
|---|---|---|---|---|---|
| CLM0003836 | 11 Apr 2026 | 376.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003835 | 23 Mar 2025 | 79.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003837 | 4 Oct 2024 | 269.00 | NORTHSTAR MUTUAL | Not denied | — |