BRIAN ANDERSON
Subscriber on policy B10M000543
Claims
3
Attributed to this person
Charged
1,203.00
Total submitted
Denied
1,203.00
3 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 | B10M000543 |
| Date of birth | 5 Sep 1990 |
| Plan | SILVER HMO |
| Covered from | 16 Feb 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 |
|---|---|---|---|---|---|
| CLM0002253 | 8 Jun 2026 | 346.00 | CASCADE CARE | CARC 11 · CODING | 346.00 |
| CLM0002255 | 29 Apr 2026 | 582.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 582.00 |
| CLM0002254 | 13 Feb 2025 | 275.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 275.00 |