MARCUS GARCIA
Subscriber on policy B04M000537
Claims
2
Attributed to this person
Charged
608.00
Total submitted
Denied
381.00
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 | MARCUS GARCIA |
| Role on the policy | Subscriber |
| Policy | B04M000537 |
| Date of birth | 12 Dec 1960 |
| Plan | BRONZE EPO |
| Covered from | 11 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 |
|---|---|---|---|---|---|
| CLM0002340 | 5 Oct 2025 | 227.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002341 | 29 Nov 2024 | 381.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 381.00 |