YUSUF CHEN
Dependent on policy B05M000214
Claims
1
Attributed to this person
Charged
81.00
Total submitted
Denied
81.00
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 01 |
| Policy | B05M000214 |
| Date of birth | 26 Oct 1959 |
| Plan | PLATINUM PPO |
| Covered from | 5 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 |
|---|---|---|---|---|---|
| CLM0000886 | 21 Apr 2026 | 81.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 81.00 |