BRIAN ANDERSON
Subscriber on policy B01M000811
Claims
3
Attributed to this person
Charged
1,138.00
Total submitted
Denied
442.00
2 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 | BRIAN ANDERSON |
| Role on the policy | Subscriber |
| Policy | B01M000811 |
| Date of birth | 13 May 1970 |
| Plan | BRONZE EPO |
| Covered from | 4 May 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 |
|---|---|---|---|---|---|
| CLM0003607 | 19 Aug 2026 | 696.00 | CASCADE CARE | Not denied | — |
| CLM0003606 | 12 Apr 2026 | 135.00 | CASCADE CARE | CARC 18 · DUPLICATE | 135.00 |
| CLM0003608 | 1 Feb 2026 | 307.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 307.00 |