JULIA LOPEZ
Subscriber on policy B08M000617
Claims
3
Attributed to this person
Charged
1,519.00
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 | JULIA LOPEZ |
| Role on the policy | Subscriber |
| Policy | B08M000617 |
| Date of birth | 3 Aug 1984 |
| Plan | PLATINUM PPO |
| Covered from | 8 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 |
|---|---|---|---|---|---|
| CLM0002804 | 8 Mar 2025 | 855.00 | CASCADE CARE | Not denied | — |
| CLM0002806 | 28 Feb 2025 | 391.00 | CASCADE CARE | Not denied | — |
| CLM0002805 | 2 Jan 2025 | 273.00 | CASCADE CARE | Not denied | — |