UMA USMAN
Subscriber on policy B09M000578
Claims
1
Attributed to this person
Charged
887.00
Total submitted
Denied
0.00
0 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 USMAN |
| Role on the policy | Subscriber |
| Policy | B09M000578 |
| Date of birth | 27 Jan 2000 |
| Plan | BRONZE EPO |
| Covered from | 2 Jun 2024 |
| Covered to | 14 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002444 | 25 Jun 2024 | 887.00 | CASCADE CARE | Not denied | — |