FIONA REYES
Dependent on policy B10M000412
Claims
3
Attributed to this person
Charged
747.00
Total submitted
Denied
354.00
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 | FIONA REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000412 |
| Date of birth | 23 Jul 2018 |
| Plan | BRONZE EPO |
| Covered from | 19 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 |
|---|---|---|---|---|---|
| CLM0001716 | 3 Nov 2025 | 298.00 | CASCADE CARE | Not denied | — |
| CLM0001715 | 30 May 2025 | 95.00 | CASCADE CARE | Not denied | — |
| CLM0001714 | 25 Jun 2024 | 354.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 354.00 |