AMARA CHEN
Subscriber on policy B03M000152
Claims
3
Attributed to this person
Charged
1,881.00
Total submitted
Denied
737.00
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 CHEN |
| Role on the policy | Subscriber |
| Policy | B03M000152 |
| Date of birth | 2 Jan 1957 |
| Plan | SILVER HMO |
| Covered from | 11 Jun 2024 |
| Covered to | 30 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000620 | 17 Nov 2024 | 629.00 | CASCADE CARE | Not denied | — |
| CLM0000621 | 6 Nov 2024 | 515.00 | CASCADE CARE | Not denied | — |
| CLM0000622 | 2 Jun 2024 | 737.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 737.00 |