UMA CHEN
Dependent on policy B07M000397
Claims
1
Attributed to this person
Charged
292.00
Total submitted
Denied
80.47
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 | UMA CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000397 |
| Date of birth | 24 Apr 2020 |
| Plan | GOLD PPO |
| Covered from | 13 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001693 | 8 Sep 2025 | 292.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 80.47 |