SOFIA SMITH
Subscriber on policy B01M000602
Claims
3
Attributed to this person
Charged
1,666.00
Total submitted
Denied
141.00
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 | SOFIA SMITH |
| Role on the policy | Subscriber |
| Policy | B01M000602 |
| Date of birth | 6 Dec 1951 |
| Plan | GOLD PPO |
| Covered from | 28 Feb 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 |
|---|---|---|---|---|---|
| CLM0002676 | 7 Aug 2026 | 832.00 | CASCADE CARE | Not denied | — |
| CLM0002675 | 7 Aug 2025 | 693.00 | CASCADE CARE | Not denied | — |
| CLM0002677 | 29 Jan 2025 | 141.00 | CASCADE CARE | CARC 18 · DUPLICATE | 141.00 |