BRIAN ANDERSON
Dependent on policy B03M000773
Claims
3
Attributed to this person
Charged
1,601.00
Total submitted
Denied
518.00
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 | BRIAN ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000773 |
| Date of birth | 10 Nov 1996 |
| Plan | BRONZE EPO |
| Covered from | 29 Jan 2025 |
| Covered to | 5 Jul 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 |
|---|---|---|---|---|---|
| CLM0003264 | 12 Aug 2025 | 518.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 518.00 |
| CLM0003265 | 1 May 2025 | 231.00 | CASCADE CARE | Not denied | — |
| CLM0003263 | 14 Feb 2025 | 852.00 | CASCADE CARE | Not denied | — |