IVAN CHEN
Subscriber on policy B02M000423
Claims
1
Attributed to this person
Charged
579.00
Total submitted
Denied
212.45
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 | IVAN CHEN |
| Role on the policy | Subscriber |
| Policy | B02M000423 |
| Date of birth | 10 Feb 1990 |
| Plan | PLATINUM PPO |
| Covered from | 18 May 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 |
|---|---|---|---|---|---|
| CLM0001803 | 3 Aug 2025 | 579.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 212.45 |