WENDY EVANS
Subscriber on policy B03M000127
Claims
2
Attributed to this person
Charged
711.00
Total submitted
Denied
584.00
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 | WENDY EVANS |
| Role on the policy | Subscriber |
| Policy | B03M000127 |
| Date of birth | 18 Mar 1959 |
| Plan | PLATINUM PPO |
| Covered from | 28 Sep 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 |
|---|---|---|---|---|---|
| CLM0000506 | 2 Apr 2026 | 584.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 584.00 |
| CLM0000507 | 22 Jul 2025 | 127.00 | CASCADE CARE | Not denied | — |