LEILA ANDERSON
Subscriber on policy B07M000205
Claims
3
Attributed to this person
Charged
1,528.00
Total submitted
Denied
463.00
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 | LEILA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B07M000205 |
| Date of birth | 4 Dec 1980 |
| Plan | BRONZE EPO |
| Covered from | 18 Mar 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 |
|---|---|---|---|---|---|
| CLM0000857 | 15 Jun 2025 | 463.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 463.00 |
| CLM0000859 | 13 May 2024 | 197.00 | CASCADE CARE | Not denied | — |
| CLM0000858 | 25 Feb 2024 | 868.00 | CASCADE CARE | Not denied | — |