NADIA REYES
Dependent on policy B08M000883
Claims
3
Attributed to this person
Charged
1,468.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
80.80
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 | NADIA REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000883 |
| Date of birth | 16 Aug 1954 |
| Plan | BRONZE EPO |
| Covered from | 29 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 80.80 |
| Total | 80.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003954 | 13 Nov 2025 | 739.00 | CASCADE CARE | Not denied | — |
| CLM0003953 | 19 Oct 2025 | 325.00 | CASCADE CARE | Not denied | — |
| CLM0003955 | 25 Apr 2025 | 404.00 | CASCADE CARE | Not denied | — |