FIONA JOHNSON
Subscriber on policy B02M000171
Claims
3
Attributed to this person
Charged
1,663.00
Total submitted
Denied
364.85
2 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 | FIONA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B02M000171 |
| Date of birth | 8 May 1975 |
| Plan | GOLD PPO |
| Covered from | 25 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 |
|---|---|---|---|---|---|
| CLM0000769 | 22 Jan 2026 | 322.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 127.97 |
| CLM0000771 | 30 Dec 2025 | 465.00 | CASCADE CARE | Not denied | — |
| CLM0000770 | 25 Jun 2025 | 876.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 236.88 |