OMAR ANDERSON
Dependent on policy B06M000142
Claims
2
Attributed to this person
Charged
718.00
Total submitted
Denied
145.23
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 | OMAR ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000142 |
| Date of birth | 26 Aug 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 |
|---|---|---|---|---|---|
| CLM0000700 | 14 Mar 2026 | 416.00 | CASCADE CARE | Not denied | — |
| CLM0000701 | 30 Apr 2025 | 302.00 | CASCADE CARE | CARC 18 · DUPLICATE | 145.23 |