PRIYA CHEN
Subscriber on policy B08M000541
Claims
1
Attributed to this person
Charged
274.00
Total submitted
Denied
274.00
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 โ 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 | PRIYA CHEN |
| Role on the policy | Subscriber |
| Policy | B08M000541 |
| Date of birth | 28 Mar 1978 |
| Plan | PLATINUM PPO |
| Covered from | 23 Aug 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 |
|---|---|---|---|---|---|
| CLM0002481 | 5 Jan 2026 | 274.00 | CASCADE CARE | CARC 27 ยท ELIGIBILITY | 274.00 |