HENRY USMAN
Dependent on policy B09M000406
Claims
2
Attributed to this person
Charged
736.00
Total submitted
Denied
80.93
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 | HENRY USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000406 |
| Date of birth | 9 Sep 1961 |
| 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 |
|---|---|---|---|---|---|
| CLM0001689 | 7 May 2026 | 556.00 | CASCADE CARE | Not denied | — |
| CLM0001690 | 15 Dec 2025 | 180.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 80.93 |