WENDY REYES
Subscriber on policy B06M000841
Claims
2
Attributed to this person
Charged
623.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
91.80
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 REYES |
| Role on the policy | Subscriber |
| Policy | B06M000841 |
| Date of birth | 12 Apr 1953 |
| Plan | GOLD PPO |
| Covered from | 14 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 91.80 |
| Total | 91.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003675 | 6 Aug 2026 | 164.00 | CASCADE CARE | Not denied | — |
| CLM0003673 | 11 Oct 2025 | 459.00 | CASCADE CARE | Not denied | — |