LEILA ANDERSON
Dependent on policy B09M000587
Claims
3
Attributed to this person
Charged
1,802.00
Total submitted
Denied
430.00
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 | LEILA ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000587 |
| Date of birth | 16 Jul 1997 |
| 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 |
|---|---|---|---|---|---|
| CLM0002496 | 16 Jan 2025 | 817.00 | CASCADE CARE | Not denied | — |
| CLM0002495 | 29 Dec 2024 | 555.00 | CASCADE CARE | Not denied | — |
| CLM0002497 | 3 Dec 2024 | 430.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 430.00 |