DAVID ANDERSON
Dependent on policy B08M000668
Claims
2
Attributed to this person
Charged
766.00
Total submitted
Denied
696.00
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 | DAVID ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000668 |
| Date of birth | 28 Nov 1959 |
| Plan | PLATINUM PPO |
| Covered from | 20 Feb 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 |
|---|---|---|---|---|---|
| CLM0003005 | 30 Jul 2025 | 696.00 | CASCADE CARE | CARC 18 · DUPLICATE | 696.00 |
| CLM0003004 | 18 May 2025 | 70.00 | CASCADE CARE | Not denied | — |