UMA ANDERSON
Dependent on policy B06M000142
Claims
3
Attributed to this person
Charged
1,156.00
Total submitted
Denied
508.00
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 | UMA ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000142 |
| Date of birth | 17 Dec 2018 |
| 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 |
|---|---|---|---|---|---|
| CLM0000699 | 2 Jun 2024 | 538.00 | CASCADE CARE | Not denied | — |
| CLM0000698 | 21 May 2024 | 508.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 508.00 |
| CLM0000697 | 27 Feb 2024 | 110.00 | CASCADE CARE | Not denied | — |