OMAR GARCIA
Dependent on policy B05M000693
Claims
1
Attributed to this person
Charged
528.00
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 GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000693 |
| Date of birth | 11 Feb 2000 |
| Plan | BRONZE EPO |
| Covered from | 19 Dec 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 |
|---|---|---|---|---|---|
| CLM0002977 | 9 Jun 2025 | 528.00 | NORTHSTAR MUTUAL | Not denied | — |