CARLA CHEN
Dependent on policy B08M000541
Claims
3
Attributed to this person
Charged
1,082.00
Total submitted
Denied
512.00
2 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 CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000541 |
| Date of birth | 6 Feb 2022 |
| 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 |
|---|---|---|---|---|---|
| CLM0002487 | 31 Oct 2025 | 129.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 129.00 |
| CLM0002486 | 28 Apr 2025 | 570.00 | CASCADE CARE | Not denied | — |
| CLM0002485 | 16 Aug 2024 | 383.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 383.00 |