RAVI USMAN
Subscriber on policy B08M000878
Claims
1
Attributed to this person
Charged
591.00
Total submitted
Denied
208.89
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 | RAVI USMAN |
| Role on the policy | Subscriber |
| Policy | B08M000878 |
| Date of birth | 20 Nov 1960 |
| Plan | SILVER HMO |
| Covered from | 21 Nov 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 |
|---|---|---|---|---|---|
| CLM0003923 | 14 Apr 2026 | 591.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 208.89 |