ZARA JOHNSON
Dependent on policy B10M000474
Claims
2
Attributed to this person
Charged
549.00
Total submitted
Denied
272.00
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 | ZARA JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000474 |
| Date of birth | 24 Mar 1952 |
| Plan | BRONZE EPO |
| Covered from | 31 Aug 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 |
|---|---|---|---|---|---|
| CLM0001968 | 1 Jun 2026 | 277.00 | CASCADE CARE | Not denied | — |
| CLM0001967 | 15 Dec 2025 | 272.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 272.00 |