WENDY CHEN
Subscriber on policy B09M000363
Claims
3
Attributed to this person
Charged
1,604.00
Total submitted
Denied
962.00
2 denied claims
Patient responsibility
96.30
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 CHEN |
| Role on the policy | Subscriber |
| Policy | B09M000363 |
| Date of birth | 1 May 1997 |
| Plan | BRONZE EPO |
| Covered from | 29 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 96.30 |
| Total | 96.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001498 | 14 Oct 2025 | 642.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001499 | 23 Aug 2025 | 834.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 834.00 |
| CLM0001500 | 28 Feb 2025 | 128.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 128.00 |