PRIYA ANDERSON
Dependent on policy B08M000668
Claims
3
Attributed to this person
Charged
1,844.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
30.00
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 | PRIYA ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000668 |
| Date of birth | 21 Feb 1990 |
| Plan | PLATINUM PPO |
| Covered from | 20 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003008 | 27 Jul 2026 | 313.00 | CASCADE CARE | Not denied | — |
| CLM0003006 | 22 Feb 2026 | 767.00 | CASCADE CARE | Not denied | — |
| CLM0003007 | 10 May 2025 | 764.00 | CASCADE CARE | Not denied | — |