UMA JOHNSON
Dependent on policy B01M000587
Claims
2
Attributed to this person
Charged
745.00
Total submitted
Denied
671.00
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 | UMA JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000587 |
| Date of birth | 6 Jan 1960 |
| Plan | BRONZE EPO |
| Covered from | 20 Aug 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 |
|---|---|---|---|---|---|
| CLM0002618 | 11 Apr 2026 | 74.00 | CASCADE CARE | Not denied | — |
| CLM0002617 | 15 Dec 2024 | 671.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 671.00 |