RAVI SMITH
Subscriber on policy B07M000437
Claims
2
Attributed to this person
Charged
828.00
Total submitted
Denied
637.00
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 | RAVI SMITH |
| Role on the policy | Subscriber |
| Policy | B07M000437 |
| Date of birth | 2 Jan 1994 |
| Plan | SILVER HMO |
| Covered from | 27 Jan 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 |
|---|---|---|---|---|---|
| CLM0001844 | 16 Mar 2026 | 637.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 637.00 |
| CLM0001845 | 8 Jan 2026 | 191.00 | CASCADE CARE | Not denied | — |