IVAN ANDERSON
Dependent on policy B01M000795
Claims
2
Attributed to this person
Charged
563.00
Total submitted
Denied
109.00
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 | IVAN ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000795 |
| Date of birth | 20 Sep 2023 |
| Plan | BRONZE EPO |
| Covered from | 14 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003540 | 27 May 2026 | 109.00 | CASCADE CARE | CARC 109 · COB | 109.00 |
| CLM0003541 | 11 Dec 2025 | 454.00 | CASCADE CARE | Not denied | — |