SOFIA JOHNSON
Dependent on policy B06M000048
Claims
3
Attributed to this person
Charged
1,421.00
Total submitted
Denied
416.00
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 | SOFIA JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000048 |
| Date of birth | 27 Jan 1997 |
| Plan | PLATINUM PPO |
| Covered from | 11 Sep 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 |
|---|---|---|---|---|---|
| CLM0000269 | 1 Aug 2026 | 697.00 | CASCADE CARE | Not denied | — |
| CLM0000267 | 22 Feb 2026 | 416.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 416.00 |
| CLM0000268 | 9 Jun 2025 | 308.00 | CASCADE CARE | Not denied | — |