AMARA REYES
Dependent on policy B10M000602
Claims
2
Attributed to this person
Charged
274.00
Total submitted
Denied
170.00
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 | AMARA REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000602 |
| Date of birth | 26 Aug 1988 |
| Plan | SILVER HMO |
| Covered from | 14 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 |
|---|---|---|---|---|---|
| CLM0002504 | 24 Mar 2026 | 170.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 170.00 |
| CLM0002505 | 20 May 2025 | 104.00 | CASCADE CARE | Not denied | — |