VICTOR REYES
Subscriber on policy B09M000013
Claims
2
Attributed to this person
Charged
1,419.00
Total submitted
Denied
855.00
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 | VICTOR REYES |
| Role on the policy | Subscriber |
| Policy | B09M000013 |
| Date of birth | 12 Mar 1951 |
| Plan | PLATINUM PPO |
| Covered from | 8 Oct 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 |
|---|---|---|---|---|---|
| CLM0000049 | 23 May 2026 | 855.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 855.00 |
| CLM0000048 | 28 Dec 2025 | 564.00 | CASCADE CARE | Not denied | — |