FIONA CHEN
Subscriber on policy B05M000892
Claims
1
Attributed to this person
Charged
516.00
Total submitted
Denied
516.00
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 | FIONA CHEN |
| Role on the policy | Subscriber |
| Policy | B05M000892 |
| Date of birth | 7 Dec 1997 |
| Plan | GOLD PPO |
| Covered from | 1 Oct 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 |
|---|---|---|---|---|---|
| CLM0003793 | 23 Sep 2025 | 516.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 516.00 |