ZARA CHEN
Subscriber on policy B06M000545
Claims
3
Attributed to this person
Charged
1,956.00
Total submitted
Denied
263.00
1 denied claims
Patient responsibility
168.20
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 | ZARA CHEN |
| Role on the policy | Subscriber |
| Policy | B06M000545 |
| Date of birth | 29 Aug 1997 |
| Plan | SILVER HMO |
| Covered from | 13 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 168.20 |
| Total | 168.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002424 | 16 Apr 2026 | 852.00 | CASCADE CARE | Not denied | — |
| CLM0002426 | 19 Aug 2025 | 263.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 263.00 |
| CLM0002425 | 25 Aug 2024 | 841.00 | CASCADE CARE | Not denied | — |