AMARA CHEN
Dependent on policy B05M000194
Claims
3
Attributed to this person
Charged
1,827.00
Total submitted
Denied
959.00
2 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 | AMARA CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000194 |
| Date of birth | 29 Sep 1989 |
| Plan | GOLD PPO |
| Covered from | 26 Jan 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 |
|---|---|---|---|---|---|
| CLM0000821 | 18 Dec 2025 | 868.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000820 | 7 Sep 2025 | 241.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 241.00 |
| CLM0000819 | 20 Aug 2025 | 718.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 718.00 |