VICTOR JOHNSON
Subscriber on policy B01M000161
Claims
2
Attributed to this person
Charged
900.00
Total submitted
Denied
236.98
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 | VICTOR JOHNSON |
| Role on the policy | Subscriber |
| Policy | B01M000161 |
| Date of birth | 16 Feb 1984 |
| Plan | BRONZE EPO |
| Covered from | 3 Sep 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000692 | 28 Dec 2025 | 135.00 | CASCADE CARE | Not denied | — |
| CLM0000693 | 12 Jun 2025 | 765.00 | CASCADE CARE | CARC 11 · CODING | 236.98 |