ELENA ANDERSON
Subscriber on policy B06M000486
Claims
1
Attributed to this person
Charged
668.00
Total submitted
Denied
236.47
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 | ELENA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B06M000486 |
| Date of birth | 11 Mar 1990 |
| Plan | SILVER HMO |
| Covered from | 28 May 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 |
|---|---|---|---|---|---|
| CLM0002194 | 10 Jul 2024 | 668.00 | CASCADE CARE | CARC 11 · CODING | 236.47 |