LEILA JOHNSON
Subscriber on policy B08M000543
Claims
3
Attributed to this person
Charged
1,535.00
Total submitted
Denied
268.86
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 | LEILA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B08M000543 |
| Date of birth | 31 Dec 1994 |
| Plan | SILVER HMO |
| Covered from | 4 Feb 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 |
|---|---|---|---|---|---|
| CLM0002494 | 27 Oct 2025 | 174.00 | CASCADE CARE | Not denied | — |
| CLM0002493 | 22 Oct 2025 | 680.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 268.86 |
| CLM0002495 | 27 Dec 2024 | 681.00 | CASCADE CARE | Not denied | — |