BRIAN EVANS
Dependent on policy B02M000000
Claims
3
Attributed to this person
Charged
1,701.00
Total submitted
Denied
178.49
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 | BRIAN EVANS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000000 |
| Date of birth | 11 Nov 2018 |
| Plan | BRONZE EPO |
| Covered from | 7 Mar 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 |
|---|---|---|---|---|---|
| CLM0000006 | 23 Jun 2026 | 691.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 178.49 |
| CLM0000008 | 10 Dec 2025 | 395.00 | CASCADE CARE | Not denied | — |
| CLM0000007 | 16 Jul 2025 | 615.00 | CASCADE CARE | Not denied | — |