BRIAN JOHNSON
Dependent on policy B01M000232
Claims
1
Attributed to this person
Charged
861.00
Total submitted
Denied
861.00
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 | BRIAN JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000232 |
| Date of birth | 5 Nov 2020 |
| Plan | GOLD PPO |
| Covered from | 13 Oct 2024 |
| Covered to | 13 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 |
|---|---|---|---|---|---|
| CLM0000982 | 21 Oct 2024 | 861.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 861.00 |