IVAN REYES
Subscriber on policy B08M000312
Claims
3
Attributed to this person
Charged
383.00
Total submitted
Denied
193.00
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 | IVAN REYES |
| Role on the policy | Subscriber |
| Policy | B08M000312 |
| Date of birth | 19 Mar 1956 |
| Plan | BRONZE EPO |
| Covered from | 8 Feb 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 |
|---|---|---|---|---|---|
| CLM0001436 | 21 Nov 2025 | 99.00 | CASCADE CARE | Not denied | — |
| CLM0001437 | 30 May 2024 | 91.00 | CASCADE CARE | Not denied | — |
| CLM0001435 | 20 Jan 2024 | 193.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 193.00 |