VICTOR USMAN
Dependent on policy B01M000613
Claims
2
Attributed to this person
Charged
155.00
Total submitted
Denied
84.00
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 | VICTOR USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000613 |
| Date of birth | 28 Nov 1998 |
| Plan | PLATINUM PPO |
| Covered from | 26 Jun 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 |
|---|---|---|---|---|---|
| CLM0002736 | 17 Mar 2026 | 84.00 | CASCADE CARE | CARC 18 · DUPLICATE | 84.00 |
| CLM0002737 | 20 Sep 2024 | 71.00 | CASCADE CARE | Not denied | — |