IVAN USMAN
Dependent on policy B10M000061
Claims
3
Attributed to this person
Charged
1,054.00
Total submitted
Denied
862.00
2 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 | IVAN USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000061 |
| Date of birth | 9 Jun 1982 |
| Plan | SILVER HMO |
| Covered from | 17 Jan 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 |
|---|---|---|---|---|---|
| CLM0000247 | 29 Jul 2026 | 192.00 | CASCADE CARE | Not denied | — |
| CLM0000248 | 3 May 2026 | 777.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 777.00 |
| CLM0000249 | 24 Feb 2026 | 85.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 85.00 |