JULIA GARCIA
Dependent on policy B05M000347
Claims
1
Attributed to this person
Charged
500.00
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 | JULIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000347 |
| Date of birth | 15 Jan 1959 |
| Plan | PLATINUM PPO |
| Covered from | 7 May 2025 |
| Covered to | 16 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001483 | 20 Jun 2025 | 500.00 | NORTHSTAR MUTUAL | Not denied | — |