LEILA USMAN
Dependent on policy B07M000644
Claims
2
Attributed to this person
Charged
455.00
Total submitted
Denied
147.06
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 USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000644 |
| Date of birth | 17 Feb 1986 |
| Plan | BRONZE EPO |
| Covered from | 27 Feb 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 |
|---|---|---|---|---|---|
| CLM0002690 | 23 Feb 2026 | 79.00 | CASCADE CARE | Not denied | — |
| CLM0002691 | 3 Jan 2026 | 376.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 147.06 |