BRIAN CHEN
Subscriber on policy B08M000791
Claims
3
Attributed to this person
Charged
1,905.00
Total submitted
Denied
468.00
1 denied claims
Patient responsibility
119.80
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 | BRIAN CHEN |
| Role on the policy | Subscriber |
| Policy | B08M000791 |
| Date of birth | 28 Jan 1991 |
| Plan | GOLD PPO |
| Covered from | 26 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 119.80 |
| Total | 119.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003534 | 23 Aug 2026 | 838.00 | CASCADE CARE | Not denied | — |
| CLM0003533 | 26 Jan 2026 | 599.00 | CASCADE CARE | Not denied | — |
| CLM0003532 | 12 Oct 2025 | 468.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 468.00 |