CARLA REYES
Subscriber on policy B08M000351
Claims
1
Attributed to this person
Charged
693.00
Total submitted
Denied
0.00
0 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 | CARLA REYES |
| Role on the policy | Subscriber |
| Policy | B08M000351 |
| Date of birth | 30 Apr 1983 |
| Plan | GOLD PPO |
| Covered from | 2 Dec 2024 |
| Covered to | 19 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001610 | 27 Apr 2025 | 693.00 | CASCADE CARE | Not denied | — |