WENDY REYES
Subscriber on policy B07M000895
Claims
3
Attributed to this person
Charged
251.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
16.20
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 REYES |
| Role on the policy | Subscriber |
| Policy | B07M000895 |
| Date of birth | 21 Dec 1953 |
| Plan | SILVER HMO |
| Covered from | 12 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 16.20 |
| Total | 16.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003698 | 15 Apr 2026 | 72.00 | CASCADE CARE | Not denied | — |
| CLM0003699 | 25 May 2025 | 108.00 | CASCADE CARE | Not denied | — |
| CLM0003700 | 29 Mar 2025 | 71.00 | CASCADE CARE | Not denied | — |