KEVIN USMAN
Dependent on policy B07M000424
Claims
3
Attributed to this person
Charged
806.00
Total submitted
Denied
434.21
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 | KEVIN USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000424 |
| Date of birth | 22 Mar 1948 |
| Plan | SILVER HMO |
| 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 |
|---|---|---|---|---|---|
| CLM0001793 | 19 Apr 2026 | 267.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 106.21 |
| CLM0001792 | 1 Mar 2026 | 328.00 | CASCADE CARE | CARC 18 · DUPLICATE | 328.00 |
| CLM0001791 | 7 Apr 2025 | 211.00 | CASCADE CARE | Not denied | — |