NADIA SMITH
Subscriber on policy B08M000538
Claims
2
Attributed to this person
Charged
1,276.00
Total submitted
Denied
1,276.00
2 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 | NADIA SMITH |
| Role on the policy | Subscriber |
| Policy | B08M000538 |
| Date of birth | 10 May 1950 |
| Plan | SILVER HMO |
| Covered from | 8 Jul 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 |
|---|---|---|---|---|---|
| CLM0002465 | 13 Jun 2026 | 815.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 815.00 |
| CLM0002466 | 15 Jul 2024 | 461.00 | CASCADE CARE | CARC 18 · DUPLICATE | 461.00 |