MARCUS USMAN
Dependent on policy B06M000796
Claims
3
Attributed to this person
Charged
1,554.00
Total submitted
Denied
650.00
1 denied claims
Patient responsibility
26.10
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 USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000796 |
| Date of birth | 10 Jan 1966 |
| Plan | BRONZE EPO |
| Covered from | 6 Mar 2025 |
| Covered to | 2 Oct 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 26.10 |
| Total | 26.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003500 | 3 Nov 2025 | 650.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 650.00 |
| CLM0003499 | 19 Jul 2025 | 730.00 | CASCADE CARE | Not denied | — |
| CLM0003501 | 17 Jul 2025 | 174.00 | CASCADE CARE | Not denied | — |