OMAR REYES
Dependent on policy B05M000178
Claims
2
Attributed to this person
Charged
897.00
Total submitted
Denied
345.00
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 | OMAR REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000178 |
| Date of birth | 19 Jan 1957 |
| Plan | PLATINUM PPO |
| Covered from | 4 Feb 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 |
|---|---|---|---|---|---|
| CLM0000751 | 17 Jul 2026 | 552.00 | CASCADE CARE | Not denied | — |
| CLM0000750 | 30 Oct 2024 | 345.00 | CASCADE CARE | CARC 11 · CODING | 345.00 |