YUSUF CHEN
Dependent on policy B03M000676
Claims
2
Attributed to this person
Charged
816.00
Total submitted
Denied
165.00
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 | YUSUF CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000676 |
| Date of birth | 13 Feb 2010 |
| Plan | PLATINUM PPO |
| Covered from | 20 Mar 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 |
|---|---|---|---|---|---|
| CLM0002811 | 18 Jan 2025 | 651.00 | CASCADE CARE | Not denied | — |
| CLM0002810 | 5 Apr 2024 | 165.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 165.00 |