YUSUF JOHNSON
Dependent on policy B06M000456
Claims
3
Attributed to this person
Charged
1,446.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
64.35
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 | YUSUF JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000456 |
| Date of birth | 30 Sep 1967 |
| Plan | SILVER HMO |
| Covered from | 7 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 64.35 |
| Total | 64.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002069 | 12 Apr 2026 | 210.00 | CASCADE CARE | Not denied | — |
| CLM0002070 | 30 Jan 2026 | 807.00 | CASCADE CARE | Not denied | — |
| CLM0002071 | 28 Oct 2025 | 429.00 | CASCADE CARE | Not denied | — |