DAVID CHEN
Subscriber on policy B07M000485
Claims
2
Attributed to this person
Charged
422.00
Total submitted
Denied
223.00
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 | DAVID CHEN |
| Role on the policy | Subscriber |
| Policy | B07M000485 |
| Date of birth | 13 Mar 1959 |
| Plan | SILVER HMO |
| Covered from | 1 Feb 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 |
|---|---|---|---|---|---|
| CLM0002069 | 22 Nov 2025 | 223.00 | CASCADE CARE | CARC 18 · DUPLICATE | 223.00 |
| CLM0002068 | 25 May 2025 | 199.00 | CASCADE CARE | Not denied | — |