JULIA CHEN
Dependent on policy B01M000419
Claims
3
Attributed to this person
Charged
567.00
Total submitted
Denied
246.00
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 | JULIA CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000419 |
| Date of birth | 17 Aug 1990 |
| Plan | SILVER HMO |
| Covered from | 20 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 |
|---|---|---|---|---|---|
| CLM0001857 | 3 Aug 2026 | 234.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001859 | 26 Apr 2025 | 87.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001858 | 19 Oct 2024 | 246.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 246.00 |