NADIA ANDERSON
Dependent on policy B04M000277
Claims
3
Attributed to this person
Charged
1,675.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
443.30
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 | NADIA ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000277 |
| Date of birth | 11 Feb 1958 |
| Plan | PLATINUM PPO |
| Covered from | 29 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 443.30 |
| Total | 443.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001196 | 19 Apr 2026 | 682.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |
| CLM0001195 | 1 Dec 2025 | 853.00 | CASCADE CARE | Not denied | — |
| CLM0001194 | 23 Nov 2025 | 140.00 | CASCADE CARE | Not denied | — |