WENDY CHEN
Subscriber on policy B07M000795
Claims
1
Attributed to this person
Charged
712.00
Total submitted
Denied
712.00
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 CHEN |
| Role on the policy | Subscriber |
| Policy | B07M000795 |
| Date of birth | 16 Jun 1961 |
| Plan | SILVER HMO |
| Covered from | 19 Dec 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 |
|---|---|---|---|---|---|
| CLM0003283 | 21 Nov 2025 | 712.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 712.00 |