WENDY REYES
Dependent on policy B04M000309
Claims
3
Attributed to this person
Charged
881.00
Total submitted
Denied
21.62
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 REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000309 |
| Date of birth | 25 Dec 1969 |
| Plan | BRONZE EPO |
| Covered from | 18 Jul 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 |
|---|---|---|---|---|---|
| CLM0001351 | 20 Feb 2026 | 399.00 | CASCADE CARE | Not denied | — |
| CLM0001353 | 27 Jun 2025 | 82.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 21.62 |
| CLM0001352 | 18 Jun 2025 | 400.00 | CASCADE CARE | Not denied | — |