LEILA USMAN
Subscriber on policy B09M000108
Claims
1
Attributed to this person
Charged
877.00
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 | LEILA USMAN |
| Role on the policy | Subscriber |
| Policy | B09M000108 |
| Date of birth | 30 Apr 1957 |
| Plan | PLATINUM PPO |
| Covered from | 25 Jan 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 |
|---|---|---|---|---|---|
| CLM0000452 | 1 Jul 2025 | 877.00 | CASCADE CARE | Not denied | — |