IVAN USMAN
Subscriber on policy B09M000406
Claims
3
Attributed to this person
Charged
1,192.00
Total submitted
Denied
658.14
2 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 | IVAN USMAN |
| Role on the policy | Subscriber |
| Policy | B09M000406 |
| Date of birth | 30 Aug 1965 |
| Plan | BRONZE EPO |
| Covered from | 17 Mar 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 |
|---|---|---|---|---|---|
| CLM0001688 | 12 Nov 2025 | 461.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 461.00 |
| CLM0001686 | 26 Sep 2025 | 402.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 197.14 |
| CLM0001687 | 11 Apr 2025 | 329.00 | CASCADE CARE | Not denied | — |