FIONA CHEN
Dependent on policy B08M000387
Claims
1
Attributed to this person
Charged
74.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
37.00
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 | FIONA CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000387 |
| Date of birth | 5 Apr 2011 |
| Plan | SILVER HMO |
| Covered from | 31 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 37.00 |
| Total | 37.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001768 | 26 Oct 2025 | 74.00 | MERIDIAN HEALTH PLAN | Not denied | — |