BRIAN EVANS
Subscriber on policy B09M000525
Claims
3
Attributed to this person
Charged
1,920.00
Total submitted
Denied
523.00
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 | BRIAN EVANS |
| Role on the policy | Subscriber |
| Policy | B09M000525 |
| Date of birth | 31 Aug 1993 |
| Plan | GOLD PPO |
| Covered from | 9 Jun 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 |
|---|---|---|---|---|---|
| CLM0002217 | 18 Aug 2026 | 659.00 | CASCADE CARE | Not denied | — |
| CLM0002218 | 16 Feb 2026 | 738.00 | CASCADE CARE | Not denied | — |
| CLM0002219 | 29 Dec 2025 | 523.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 523.00 |