SOFIA EVANS
Dependent on policy B06M000480
Claims
3
Attributed to this person
Charged
1,611.00
Total submitted
Denied
766.00
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 | SOFIA EVANS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000480 |
| Date of birth | 24 Jul 1995 |
| Plan | BRONZE EPO |
| Covered from | 7 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002167 | 13 Jan 2026 | 766.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 766.00 |
| CLM0002166 | 2 Nov 2025 | 439.00 | CASCADE CARE | Not denied | — |
| CLM0002165 | 23 Jun 2025 | 406.00 | CASCADE CARE | Not denied | — |