MARCUS JOHNSON
Dependent on policy B06M000844
Claims
1
Attributed to this person
Charged
391.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
58.65
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 JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000844 |
| Date of birth | 3 Apr 1968 |
| Plan | GOLD PPO |
| Covered from | 13 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 58.65 |
| Total | 58.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003692 | 19 Dec 2025 | 391.00 | CASCADE CARE | Not denied | — |