OMAR LOPEZ
Dependent on policy B10M000803
Claims
2
Attributed to this person
Charged
680.00
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 | OMAR LOPEZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000803 |
| Date of birth | 28 Jan 2010 |
| Plan | BRONZE EPO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0003391 | 18 Jul 2026 | 284.00 | CASCADE CARE | Not denied | — |
| CLM0003390 | 11 Dec 2025 | 396.00 | CASCADE CARE | Not denied | — |