CARLA ANDERSON
Dependent on policy B09M000133
Claims
2
Attributed to this person
Charged
760.00
Total submitted
Denied
181.00
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 | CARLA ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000133 |
| Date of birth | 31 Dec 1991 |
| Plan | GOLD PPO |
| Covered from | 20 Jun 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 |
|---|---|---|---|---|---|
| CLM0000544 | 22 Dec 2025 | 579.00 | CASCADE CARE | Not denied | — |
| CLM0000543 | 15 Nov 2024 | 181.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 181.00 |