ELENA REYES
Subscriber on policy B01M000401
Claims
3
Attributed to this person
Charged
2,222.00
Total submitted
Denied
306.88
1 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 | ELENA REYES |
| Role on the policy | Subscriber |
| Policy | B01M000401 |
| Date of birth | 28 Jun 1999 |
| Plan | SILVER HMO |
| Covered from | 3 Jun 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 |
|---|---|---|---|---|---|
| CLM0001783 | 2 Feb 2026 | 878.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 306.88 |
| CLM0001782 | 17 Aug 2025 | 568.00 | CASCADE CARE | Not denied | — |
| CLM0001781 | 26 Sep 2024 | 776.00 | CASCADE CARE | Not denied | — |