NADIA CHEN
Subscriber on policy B07M000771
Claims
1
Attributed to this person
Charged
844.00
Total submitted
Denied
297.60
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 | NADIA CHEN |
| Role on the policy | Subscriber |
| Policy | B07M000771 |
| Date of birth | 5 May 1988 |
| Plan | SILVER HMO |
| Covered from | 2 Aug 2024 |
| Covered to | 3 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003192 | 9 Sep 2024 | 844.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 297.60 |