IVAN LOPEZ
Dependent on policy B08M000364
Claims
2
Attributed to this person
Charged
838.00
Total submitted
Denied
0.00
0 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 LOPEZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000364 |
| Date of birth | 11 Aug 1970 |
| Plan | PLATINUM PPO |
| Covered from | 27 Jan 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 |
|---|---|---|---|---|---|
| CLM0001661 | 2 Apr 2024 | 94.00 | CASCADE CARE | Not denied | — |
| CLM0001660 | 26 Mar 2024 | 744.00 | CASCADE CARE | Not denied | — |