DAVID CHEN
Subscriber on policy B01M000304
Claims
3
Attributed to this person
Charged
1,717.00
Total submitted
Denied
626.00
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 | DAVID CHEN |
| Role on the policy | Subscriber |
| Policy | B01M000304 |
| Date of birth | 20 May 1981 |
| Plan | PLATINUM PPO |
| Covered from | 26 Apr 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 |
|---|---|---|---|---|---|
| CLM0001340 | 16 Jul 2026 | 791.00 | CASCADE CARE | Not denied | — |
| CLM0001339 | 6 Jul 2026 | 626.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 626.00 |
| CLM0001338 | 28 Sep 2024 | 300.00 | CASCADE CARE | Not denied | — |