SOFIA ANDERSON
Subscriber on policy B02M000530
Claims
1
Attributed to this person
Charged
131.00
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 | SOFIA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B02M000530 |
| Date of birth | 8 Jun 1976 |
| Plan | GOLD PPO |
| Covered from | 4 Mar 2025 |
| Covered to | 8 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002242 | 26 Jun 2025 | 131.00 | CASCADE CARE | Not denied | — |