JULIA ANDERSON
Dependent on policy B09M000587
Claims
3
Attributed to this person
Charged
1,908.00
Total submitted
Denied
695.00
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 | JULIA ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000587 |
| Date of birth | 11 Dec 1976 |
| Plan | BRONZE EPO |
| Covered from | 27 Dec 2024 |
| Covered to | 15 Apr 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 |
|---|---|---|---|---|---|
| CLM0002493 | 23 Apr 2025 | 695.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 695.00 |
| CLM0002494 | 21 Mar 2025 | 411.00 | CASCADE CARE | Not denied | — |
| CLM0002492 | 10 Feb 2025 | 802.00 | CASCADE CARE | Not denied | — |