RAVI ANDERSON
Subscriber on policy B02M000075
Claims
3
Attributed to this person
Charged
892.00
Total submitted
Denied
762.07
3 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 | RAVI ANDERSON |
| Role on the policy | Subscriber |
| Policy | B02M000075 |
| Date of birth | 25 Jun 1973 |
| Plan | SILVER HMO |
| Covered from | 22 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 |
|---|---|---|---|---|---|
| CLM0000347 | 13 Jun 2026 | 236.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 236.00 |
| CLM0000349 | 22 Dec 2025 | 475.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 475.00 |
| CLM0000348 | 30 Apr 2025 | 181.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 51.07 |