AMARA CHEN
Subscriber on policy B03M000213
Claims
1
Attributed to this person
Charged
741.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
111.15
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 CHEN |
| Role on the policy | Subscriber |
| Policy | B03M000213 |
| Date of birth | 19 Apr 1993 |
| Plan | SILVER HMO |
| Covered from | 25 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 111.15 |
| Total | 111.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000878 | 14 Jul 2026 | 741.00 | MERIDIAN HEALTH PLAN | Not denied | — |