WENDY EVANS
Subscriber on policy B06M000480
Claims
2
Attributed to this person
Charged
847.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
43.35
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 | B06M000480 |
| Date of birth | 27 Jul 1957 |
| Plan | BRONZE EPO |
| Covered from | 7 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 43.35 |
| Total | 43.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002160 | 8 Jun 2026 | 558.00 | CASCADE CARE | Not denied | — |
| CLM0002161 | 19 Feb 2025 | 289.00 | CASCADE CARE | Not denied | — |