VICTOR ANDERSON
Dependent on policy B02M000360
Claims
2
Attributed to this person
Charged
1,052.00
Total submitted
Denied
0.00
0 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 | VICTOR ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000360 |
| Date of birth | 8 Oct 1958 |
| Plan | GOLD PPO |
| Covered from | 15 Mar 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 |
|---|---|---|---|---|---|
| CLM0001549 | 3 May 2025 | 524.00 | CASCADE CARE | Not denied | — |
| CLM0001548 | 27 Jun 2024 | 528.00 | CASCADE CARE | Not denied | — |