JULIA REYES
Subscriber on policy B04M000253
Claims
3
Attributed to this person
Charged
928.00
Total submitted
Denied
224.37
2 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 | JULIA REYES |
| Role on the policy | Subscriber |
| Policy | B04M000253 |
| Date of birth | 21 Jul 1955 |
| Plan | SILVER HMO |
| Covered from | 6 May 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 |
|---|---|---|---|---|---|
| CLM0001103 | 3 Mar 2026 | 299.00 | CASCADE CARE | Not denied | — |
| CLM0001101 | 17 Nov 2025 | 97.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 24.15 |
| CLM0001102 | 22 Oct 2024 | 532.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 200.22 |