JULIA SMITH
Dependent on policy B02M000126
Claims
2
Attributed to this person
Charged
896.00
Total submitted
Denied
327.00
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 | JULIA SMITH |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000126 |
| Date of birth | 4 Aug 1973 |
| Plan | SILVER HMO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0000581 | 12 Aug 2025 | 569.00 | CASCADE CARE | Not denied | — |
| CLM0000580 | 1 May 2025 | 327.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 327.00 |