WENDY PATEL
Subscriber on policy B05M000781
Claims
2
Attributed to this person
Charged
894.00
Total submitted
Denied
640.40
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 | WENDY PATEL |
| Role on the policy | Subscriber |
| Policy | B05M000781 |
| Date of birth | 25 Oct 1963 |
| Plan | GOLD PPO |
| Covered from | 26 Aug 2024 |
| Covered to | 15 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003328 | 24 Feb 2025 | 568.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 568.00 |
| CLM0003329 | 23 Jan 2025 | 326.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 72.40 |