KEVIN EVANS
Dependent on policy B10M000142
Claims
2
Attributed to this person
Charged
800.00
Total submitted
Denied
610.00
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 | KEVIN EVANS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000142 |
| Date of birth | 9 Aug 1972 |
| Plan | BRONZE EPO |
| 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 |
|---|---|---|---|---|---|
| CLM0000593 | 9 Apr 2026 | 610.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 610.00 |
| CLM0000594 | 28 Jan 2025 | 190.00 | CASCADE CARE | Not denied | — |