JULIA ANDERSON
Dependent on policy B03M000195
Claims
3
Attributed to this person
Charged
1,166.00
Total submitted
Denied
563.00
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 | JULIA ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000195 |
| Date of birth | 14 May 2008 |
| Plan | SILVER HMO |
| Covered from | 19 Jun 2025 |
| Covered to | 9 Feb 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000810 | 16 Feb 2026 | 459.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 459.00 |
| CLM0000809 | 28 Sep 2025 | 603.00 | CASCADE CARE | Not denied | — |
| CLM0000808 | 20 Sep 2025 | 104.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 104.00 |