BRIAN ANDERSON
Subscriber on policy B07M000869
Claims
2
Attributed to this person
Charged
360.00
Total submitted
Denied
360.00
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 | BRIAN ANDERSON |
| Role on the policy | Subscriber |
| Policy | B07M000869 |
| Date of birth | 12 Jun 1964 |
| Plan | BRONZE EPO |
| Covered from | 15 Apr 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 |
|---|---|---|---|---|---|
| CLM0003594 | 13 Jul 2025 | 89.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 89.00 |
| CLM0003593 | 6 Apr 2025 | 271.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 271.00 |