JULIA USMAN
Dependent on policy B10M000306
Claims
2
Attributed to this person
Charged
948.00
Total submitted
Denied
701.00
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 | JULIA USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000306 |
| Date of birth | 26 Mar 2001 |
| Plan | SILVER HMO |
| Covered from | 23 Dec 2024 |
| Covered to | 6 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001284 | 16 Oct 2025 | 701.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 701.00 |
| CLM0001285 | 15 Sep 2025 | 247.00 | CASCADE CARE | Not denied | — |