LEILA ANDERSON
Dependent on policy B07M000556
Claims
3
Attributed to this person
Charged
1,361.00
Total submitted
Denied
208.00
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 | Dependent · relationship 01 |
| Policy | B07M000556 |
| Date of birth | 22 Sep 1973 |
| Plan | BRONZE EPO |
| Covered from | 18 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002368 | 12 Oct 2025 | 208.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 208.00 |
| CLM0002367 | 20 Aug 2025 | 732.00 | CASCADE CARE | Not denied | — |
| CLM0002366 | 30 Jul 2025 | 421.00 | CASCADE CARE | Not denied | — |