IVAN ANDERSON
Dependent on policy B01M000265
Claims
3
Attributed to this person
Charged
1,114.00
Total submitted
Denied
251.00
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 | IVAN ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000265 |
| Date of birth | 29 May 2011 |
| Plan | SILVER HMO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0001133 | 29 Aug 2025 | 107.00 | CASCADE CARE | Not denied | — |
| CLM0001132 | 1 Jul 2025 | 251.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 251.00 |
| CLM0001131 | 25 May 2025 | 756.00 | CASCADE CARE | Not denied | — |