GRACE ANDERSON
Subscriber on policy B07M000641
Claims
3
Attributed to this person
Charged
667.00
Total submitted
Denied
286.00
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 | GRACE ANDERSON |
| Role on the policy | Subscriber |
| Policy | B07M000641 |
| Date of birth | 16 Jul 1963 |
| Plan | GOLD PPO |
| Covered from | 6 Mar 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 |
|---|---|---|---|---|---|
| CLM0002682 | 28 Mar 2026 | 112.00 | CASCADE CARE | Not denied | — |
| CLM0002680 | 29 Oct 2025 | 269.00 | CASCADE CARE | Not denied | — |
| CLM0002681 | 17 Aug 2025 | 286.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 286.00 |