ZARA SMITH
Subscriber on policy B08M000738
Claims
1
Attributed to this person
Charged
221.00
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 | ZARA SMITH |
| Role on the policy | Subscriber |
| Policy | B08M000738 |
| Date of birth | 12 Dec 1990 |
| Plan | GOLD PPO |
| Covered from | 5 Mar 2025 |
| Covered to | 26 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003308 | 28 Aug 2025 | 221.00 | CASCADE CARE | Not denied | — |