FIONA JOHNSON
Subscriber on policy B06M000010
Claims
2
Attributed to this person
Charged
1,300.00
Total submitted
Denied
150.95
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 | FIONA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B06M000010 |
| Date of birth | 14 Feb 1990 |
| Plan | SILVER HMO |
| Covered from | 24 May 2025 |
| Covered to | 9 Sep 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 |
|---|---|---|---|---|---|
| CLM0000058 | 1 Aug 2025 | 712.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 150.95 |
| CLM0000059 | 26 May 2025 | 588.00 | CASCADE CARE | Not denied | — |