GRACE ANDERSON
Dependent on policy B06M000883
Claims
3
Attributed to this person
Charged
1,866.00
Total submitted
Denied
971.90
2 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 | GRACE ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000883 |
| Date of birth | 16 Apr 1985 |
| Plan | GOLD PPO |
| Covered from | 15 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 |
|---|---|---|---|---|---|
| CLM0003848 | 11 Feb 2026 | 663.00 | CASCADE CARE | Not denied | — |
| CLM0003846 | 10 Jan 2025 | 864.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 864.00 |
| CLM0003847 | 2 Dec 2024 | 339.00 | CASCADE CARE | CARC 11 · CODING | 107.90 |