VICTOR REYES
Dependent on policy B03M000538
Claims
3
Attributed to this person
Charged
2,058.00
Total submitted
Denied
404.00
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 | VICTOR REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000538 |
| Date of birth | 3 Feb 2008 |
| Plan | PLATINUM PPO |
| Covered from | 26 Aug 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 |
|---|---|---|---|---|---|
| CLM0002215 | 12 Feb 2026 | 404.00 | CASCADE CARE | CARC 18 · DUPLICATE | 404.00 |
| CLM0002216 | 25 Aug 2025 | 846.00 | CASCADE CARE | Not denied | — |
| CLM0002214 | 24 Dec 2024 | 808.00 | CASCADE CARE | Not denied | — |