MARCUS ANDERSON
Dependent on policy B06M000516
Claims
2
Attributed to this person
Charged
816.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
22.60
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 | MARCUS ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000516 |
| Date of birth | 25 Apr 2002 |
| Plan | BRONZE EPO |
| Covered from | 11 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 22.60 |
| Total | 22.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002297 | 5 Jan 2026 | 703.00 | CASCADE CARE | Not denied | — |
| CLM0002298 | 10 Mar 2025 | 113.00 | CASCADE CARE | Not denied | — |