KEVIN EVANS
Dependent on policy B02M000045
Claims
2
Attributed to this person
Charged
235.00
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 | KEVIN EVANS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000045 |
| Date of birth | 17 Jun 2012 |
| Plan | GOLD PPO |
| Covered from | 16 Sep 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 |
|---|---|---|---|---|---|
| CLM0000219 | 30 Apr 2025 | 161.00 | CASCADE CARE | Not denied | — |
| CLM0000218 | 5 Nov 2024 | 74.00 | CASCADE CARE | Not denied | — |