FIONA EVANS
Subscriber on policy B09M000846
Claims
2
Attributed to this person
Charged
1,104.00
Total submitted
Denied
376.00
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 | FIONA EVANS |
| Role on the policy | Subscriber |
| Policy | B09M000846 |
| Date of birth | 4 Jan 1960 |
| Plan | BRONZE EPO |
| Covered from | 18 Jan 2025 |
| Covered to | 1 Aug 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 |
|---|---|---|---|---|---|
| CLM0003596 | 30 May 2025 | 728.00 | CASCADE CARE | Not denied | — |
| CLM0003595 | 15 Jan 2025 | 376.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 376.00 |