MARCUS JOHNSON
Subscriber on policy B02M000064
Claims
3
Attributed to this person
Charged
1,260.00
Total submitted
Denied
721.00
2 denied claims
Patient responsibility
53.30
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 | MARCUS JOHNSON |
| Role on the policy | Subscriber |
| Policy | B02M000064 |
| Date of birth | 20 Jul 1961 |
| Plan | SILVER HMO |
| Covered from | 23 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 53.30 |
| Total | 53.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000299 | 3 Jan 2026 | 457.00 | CASCADE CARE | Not denied | — |
| CLM0000297 | 25 Sep 2025 | 82.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000298 | 29 Aug 2024 | 721.00 | CASCADE CARE | CARC 96 · NON_COVERED | 721.00 |