NADIA SMITH
Subscriber on policy B08M000835
Claims
3
Attributed to this person
Charged
1,875.00
Total submitted
Denied
700.23
2 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 | NADIA SMITH |
| Role on the policy | Subscriber |
| Policy | B08M000835 |
| Date of birth | 14 Nov 1957 |
| Plan | PLATINUM PPO |
| Covered from | 23 Nov 2024 |
| Covered to | 22 Jun 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 |
|---|---|---|---|---|---|
| CLM0003720 | 16 Mar 2025 | 552.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 552.00 |
| CLM0003719 | 20 Dec 2024 | 642.00 | CASCADE CARE | Not denied | — |
| CLM0003718 | 10 Dec 2024 | 681.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 148.23 |