VICTOR ANDERSON
Subscriber on policy B04M000046
Claims
3
Attributed to this person
Charged
439.00
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 | VICTOR ANDERSON |
| Role on the policy | Subscriber |
| Policy | B04M000046 |
| Date of birth | 7 Nov 1999 |
| Plan | PLATINUM PPO |
| Covered from | 27 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 |
|---|---|---|---|---|---|
| CLM0000211 | 23 May 2026 | 214.00 | CASCADE CARE | Not denied | — |
| CLM0000210 | 29 Aug 2025 | 124.00 | CASCADE CARE | Not denied | — |
| CLM0000212 | 19 Jul 2025 | 101.00 | CASCADE CARE | Not denied | — |