KEVIN EVANS
Dependent on policy B01M000584
Claims
2
Attributed to this person
Charged
921.00
Total submitted
Denied
522.00
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 | KEVIN EVANS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000584 |
| Date of birth | 12 Dec 1949 |
| Plan | GOLD PPO |
| Covered from | 9 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002607 | 4 Feb 2026 | 399.00 | CASCADE CARE | Not denied | — |
| CLM0002606 | 5 Jul 2025 | 522.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 522.00 |