UMA JOHNSON
Dependent on policy B10M000680
Claims
1
Attributed to this person
Charged
845.00
Total submitted
Denied
0.00
0 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 | UMA JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000680 |
| Date of birth | 24 Nov 2008 |
| Plan | BRONZE EPO |
| Covered from | 6 Mar 2025 |
| Covered to | 24 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 |
|---|---|---|---|---|---|
| CLM0002827 | 15 Mar 2025 | 845.00 | CASCADE CARE | Not denied | — |