RAVI REYES
Subscriber on policy B08M000810
Claims
3
Attributed to this person
Charged
905.00
Total submitted
Denied
357.83
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 | RAVI REYES |
| Role on the policy | Subscriber |
| Policy | B08M000810 |
| Date of birth | 15 Nov 1964 |
| Plan | BRONZE EPO |
| Covered from | 1 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 |
|---|---|---|---|---|---|
| CLM0003623 | 30 May 2026 | 352.00 | CASCADE CARE | CARC 18 · DUPLICATE | 6.83 |
| CLM0003625 | 3 Sep 2025 | 202.00 | CASCADE CARE | Not denied | — |
| CLM0003624 | 12 Jul 2024 | 351.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 351.00 |