UMA CHEN
Dependent on policy B09M000130
Claims
1
Attributed to this person
Charged
329.00
Total submitted
Denied
329.00
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 | UMA CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000130 |
| Date of birth | 9 Sep 1982 |
| Plan | SILVER HMO |
| Covered from | 8 Jul 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 |
|---|---|---|---|---|---|
| CLM0000537 | 10 Aug 2024 | 329.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 329.00 |