WENDY PATEL
Dependent on policy B08M000732
Claims
1
Attributed to this person
Charged
852.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
553.80
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 | WENDY PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000732 |
| Date of birth | 13 Oct 1991 |
| Plan | SILVER HMO |
| Covered from | 21 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 553.80 |
| Total | 553.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003279 | 23 May 2026 | 852.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |