HENRY USMAN
Subscriber on policy B07M000195
Claims
2
Attributed to this person
Charged
397.00
Total submitted
Denied
263.00
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 | HENRY USMAN |
| Role on the policy | Subscriber |
| Policy | B07M000195 |
| Date of birth | 4 May 1963 |
| Plan | SILVER HMO |
| Covered from | 23 May 2025 |
| Covered to | 27 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000807 | 5 Oct 2025 | 263.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 263.00 |
| CLM0000806 | 27 Jun 2025 | 134.00 | CASCADE CARE | Not denied | — |