RAVI ANDERSON
Dependent on policy B01M000813
Claims
1
Attributed to this person
Charged
802.00
Total submitted
Denied
802.00
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 | RAVI ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000813 |
| Date of birth | 7 Aug 1984 |
| Plan | BRONZE EPO |
| Covered from | 19 Jan 2025 |
| Covered to | 1 Nov 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 |
|---|---|---|---|---|---|
| CLM0003618 | 17 Sep 2025 | 802.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 802.00 |