FIONA REYES
Subscriber on policy B07M000068
Claims
1
Attributed to this person
Charged
441.00
Total submitted
Denied
166.09
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 | FIONA REYES |
| Role on the policy | Subscriber |
| Policy | B07M000068 |
| Date of birth | 11 Aug 1956 |
| Plan | PLATINUM PPO |
| Covered from | 4 Oct 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 |
|---|---|---|---|---|---|
| CLM0000290 | 21 Jan 2026 | 441.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 166.09 |