TOMAS CHEN
Subscriber on policy B01M000021
Claims
2
Attributed to this person
Charged
367.00
Total submitted
Denied
0.00
0 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 | TOMAS CHEN |
| Role on the policy | Subscriber |
| Policy | B01M000021 |
| Date of birth | 17 Jan 2002 |
| Plan | PLATINUM PPO |
| Covered from | 18 Mar 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 |
|---|---|---|---|---|---|
| CLM0000076 | 28 Jan 2026 | 254.00 | CASCADE CARE | Not denied | — |
| CLM0000077 | 13 Jul 2025 | 113.00 | CASCADE CARE | Not denied | — |