KEVIN USMAN
Subscriber on policy B01M000666
Claims
3
Attributed to this person
Charged
889.00
Total submitted
Denied
889.00
3 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 | KEVIN USMAN |
| Role on the policy | Subscriber |
| Policy | B01M000666 |
| Date of birth | 23 Jan 1961 |
| Plan | SILVER HMO |
| Covered from | 8 Mar 2024 |
| Covered to | 1 Jun 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002986 | 8 Jul 2024 | 94.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 94.00 |
| CLM0002987 | 23 Jun 2024 | 287.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 287.00 |
| CLM0002985 | 28 Feb 2024 | 508.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 508.00 |