SOFIA CHEN
Dependent on policy B01M000054
Claims
3
Attributed to this person
Charged
2,269.00
Total submitted
Denied
726.00
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 | SOFIA CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000054 |
| Date of birth | 21 Sep 2002 |
| Plan | GOLD PPO |
| Covered from | 12 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 |
|---|---|---|---|---|---|
| CLM0000218 | 23 May 2026 | 777.00 | CASCADE CARE | Not denied | — |
| CLM0000219 | 15 May 2026 | 726.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 726.00 |
| CLM0000220 | 15 Mar 2026 | 766.00 | CASCADE CARE | Not denied | — |