WENDY EVANS
Subscriber on policy B06M000062
Claims
2
Attributed to this person
Charged
823.00
Total submitted
Denied
435.00
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 | WENDY EVANS |
| Role on the policy | Subscriber |
| Policy | B06M000062 |
| Date of birth | 29 Sep 1953 |
| Plan | SILVER HMO |
| Covered from | 3 Jul 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 |
|---|---|---|---|---|---|
| CLM0000334 | 7 Oct 2025 | 637.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 249.00 |
| CLM0000333 | 24 Feb 2025 | 186.00 | CASCADE CARE | CARC 96 · NON_COVERED | 186.00 |