WENDY GARCIA
Dependent on policy B06M000689
Claims
2
Attributed to this person
Charged
278.00
Total submitted
Denied
203.00
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 | WENDY GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000689 |
| Date of birth | 26 Mar 1961 |
| Plan | BRONZE EPO |
| Covered from | 2 Sep 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 |
|---|---|---|---|---|---|
| CLM0003076 | 10 Feb 2025 | 75.00 | CASCADE CARE | Not denied | — |
| CLM0003075 | 22 Aug 2024 | 203.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 203.00 |