FIONA JOHNSON
Subscriber on policy B01M000114
Claims
2
Attributed to this person
Charged
992.00
Total submitted
Denied
199.00
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 | FIONA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B01M000114 |
| Date of birth | 17 Jun 1959 |
| Plan | BRONZE EPO |
| Covered from | 26 Mar 2024 |
| Covered to | 6 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000448 | 23 Jan 2025 | 199.00 | CASCADE CARE | CARC 18 · DUPLICATE | 199.00 |
| CLM0000449 | 1 May 2024 | 793.00 | CASCADE CARE | Not denied | — |