OMAR ANDERSON
Subscriber on policy B10M000177
Claims
2
Attributed to this person
Charged
667.00
Total submitted
Denied
82.00
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 | OMAR ANDERSON |
| Role on the policy | Subscriber |
| Policy | B10M000177 |
| Date of birth | 27 Dec 1987 |
| Plan | SILVER HMO |
| Covered from | 9 Oct 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 |
|---|---|---|---|---|---|
| CLM0000736 | 27 Feb 2026 | 82.00 | CASCADE CARE | CARC 11 · CODING | 82.00 |
| CLM0000735 | 29 Jan 2026 | 585.00 | CASCADE CARE | Not denied | — |