WENDY CHEN
Dependent on policy B07M000485
Claims
2
Attributed to this person
Charged
1,038.00
Total submitted
Denied
577.00
1 denied claims
Patient responsibility
69.15
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 | Dependent · relationship 01 |
| Policy | B07M000485 |
| Date of birth | 12 Jun 1961 |
| Plan | SILVER HMO |
| Covered from | 1 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 69.15 |
| Total | 69.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002071 | 26 May 2026 | 577.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 577.00 |
| CLM0002072 | 20 May 2025 | 461.00 | CASCADE CARE | Not denied | — |