UMA EVANS
Subscriber on policy B01M000465
Claims
3
Attributed to this person
Charged
856.00
Total submitted
Denied
12.36
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 | UMA EVANS |
| Role on the policy | Subscriber |
| Policy | B01M000465 |
| Date of birth | 6 Apr 1971 |
| Plan | BRONZE EPO |
| Covered from | 5 Sep 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 |
|---|---|---|---|---|---|
| CLM0002073 | 18 Jun 2026 | 572.00 | CASCADE CARE | Not denied | — |
| CLM0002071 | 25 Mar 2026 | 166.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 12.36 |
| CLM0002072 | 22 Oct 2024 | 118.00 | CASCADE CARE | Not denied | — |