KEVIN JOHNSON
Dependent on policy B09M000542
Claims
3
Attributed to this person
Charged
635.00
Total submitted
Denied
208.00
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 JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000542 |
| Date of birth | 17 Apr 2020 |
| Plan | BRONZE EPO |
| Covered from | 11 Mar 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 |
|---|---|---|---|---|---|
| CLM0002283 | 17 Apr 2025 | 323.00 | CASCADE CARE | Not denied | — |
| CLM0002281 | 28 Mar 2025 | 104.00 | CASCADE CARE | Not denied | — |
| CLM0002282 | 6 Mar 2024 | 208.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 208.00 |