WENDY ANDERSON
Subscriber on policy B06M000142
Claims
2
Attributed to this person
Charged
354.00
Total submitted
Denied
215.00
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 | WENDY ANDERSON |
| Role on the policy | Subscriber |
| Policy | B06M000142 |
| Date of birth | 25 Sep 1991 |
| Plan | GOLD PPO |
| Covered from | 5 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 |
|---|---|---|---|---|---|
| CLM0000693 | 21 Jan 2026 | 215.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 215.00 |
| CLM0000694 | 4 Dec 2024 | 139.00 | CASCADE CARE | Not denied | — |