WENDY JOHNSON
Subscriber on policy B03M000001
Claims
3
Attributed to this person
Charged
894.00
Total submitted
Denied
423.00
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 | WENDY JOHNSON |
| Role on the policy | Subscriber |
| Policy | B03M000001 |
| Date of birth | 1 Jul 1970 |
| Plan | GOLD PPO |
| Covered from | 7 Apr 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 |
|---|---|---|---|---|---|
| CLM0000005 | 18 Jan 2026 | 423.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 423.00 |
| CLM0000004 | 4 Jan 2026 | 319.00 | CASCADE CARE | Not denied | — |
| CLM0000006 | 1 Sep 2025 | 152.00 | CASCADE CARE | Not denied | — |