AMARA EVANS
Subscriber on policy B06M000815
Claims
2
Attributed to this person
Charged
1,381.00
Total submitted
Denied
802.00
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 | AMARA EVANS |
| Role on the policy | Subscriber |
| Policy | B06M000815 |
| Date of birth | 21 Jun 1986 |
| Plan | PLATINUM PPO |
| Covered from | 16 Jun 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 |
|---|---|---|---|---|---|
| CLM0003578 | 14 Oct 2025 | 579.00 | CASCADE CARE | Not denied | — |
| CLM0003579 | 16 Apr 2025 | 802.00 | CASCADE CARE | CARC 109 · COB | 802.00 |