VICTOR JOHNSON
Subscriber on policy B06M000225
Claims
3
Attributed to this person
Charged
991.00
Total submitted
Denied
731.00
2 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 | VICTOR JOHNSON |
| Role on the policy | Subscriber |
| Policy | B06M000225 |
| Date of birth | 26 Nov 1991 |
| Plan | SILVER HMO |
| Covered from | 5 Nov 2024 |
| Covered to | 1 Apr 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 |
|---|---|---|---|---|---|
| CLM0001078 | 1 Mar 2025 | 260.00 | CASCADE CARE | Not denied | — |
| CLM0001077 | 17 Oct 2024 | 644.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 644.00 |
| CLM0001076 | 8 Oct 2024 | 87.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 87.00 |