OMAR USMAN
Subscriber on policy B03M000435
Claims
3
Attributed to this person
Charged
1,583.00
Total submitted
Denied
662.00
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 | OMAR USMAN |
| Role on the policy | Subscriber |
| Policy | B03M000435 |
| Date of birth | 6 Oct 1964 |
| Plan | PLATINUM PPO |
| Covered from | 17 Feb 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 |
|---|---|---|---|---|---|
| CLM0001778 | 6 Mar 2026 | 662.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 662.00 |
| CLM0001776 | 30 Nov 2025 | 779.00 | CASCADE CARE | Not denied | — |
| CLM0001777 | 25 Aug 2025 | 142.00 | CASCADE CARE | Not denied | — |