DAVID ANDERSON
Dependent on policy B10M000140
Claims
3
Attributed to this person
Charged
883.00
Total submitted
Denied
334.00
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 | DAVID ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000140 |
| Date of birth | 16 Mar 1956 |
| Plan | SILVER HMO |
| Covered from | 14 Feb 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 |
|---|---|---|---|---|---|
| CLM0000583 | 8 Jan 2026 | 198.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 198.00 |
| CLM0000584 | 28 Oct 2025 | 549.00 | CASCADE CARE | Not denied | — |
| CLM0000585 | 17 Aug 2025 | 136.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 136.00 |