RAVI REYES
Subscriber on policy B09M000181
Claims
2
Attributed to this person
Charged
491.00
Total submitted
Denied
42.23
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 | RAVI REYES |
| Role on the policy | Subscriber |
| Policy | B09M000181 |
| Date of birth | 17 May 1979 |
| Plan | PLATINUM PPO |
| Covered from | 13 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000757 | 21 Jan 2026 | 323.00 | CASCADE CARE | Not denied | — |
| CLM0000758 | 19 Jun 2025 | 168.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 42.23 |