PRIYA EVANS
Subscriber on policy B02M000082
Claims
2
Attributed to this person
Charged
1,004.00
Total submitted
Denied
192.00
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 | PRIYA EVANS |
| Role on the policy | Subscriber |
| Policy | B02M000082 |
| Date of birth | 23 Jul 1973 |
| Plan | GOLD PPO |
| Covered from | 30 Jun 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 |
|---|---|---|---|---|---|
| CLM0000375 | 31 Mar 2025 | 812.00 | CASCADE CARE | Not denied | — |
| CLM0000374 | 17 Jul 2024 | 192.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 192.00 |