KEVIN REYES
Dependent on policy B07M000895
Claims
3
Attributed to this person
Charged
1,559.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
55.65
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 | KEVIN REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000895 |
| Date of birth | 21 Sep 1982 |
| 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 | 55.65 |
| Total | 55.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003706 | 21 Mar 2026 | 870.00 | CASCADE CARE | Not denied | — |
| CLM0003704 | 14 Dec 2025 | 318.00 | CASCADE CARE | Not denied | — |
| CLM0003705 | 17 Sep 2025 | 371.00 | CASCADE CARE | Not denied | — |