NADIA USMAN
Dependent on policy B04M000560
Claims
3
Attributed to this person
Charged
1,842.00
Total submitted
Denied
376.00
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 | NADIA USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000560 |
| Date of birth | 25 Jun 1978 |
| Plan | SILVER HMO |
| Covered from | 13 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002460 | 17 May 2025 | 660.00 | CASCADE CARE | Not denied | — |
| CLM0002459 | 21 Jan 2025 | 376.00 | CASCADE CARE | CARC 109 · COB | 376.00 |
| CLM0002461 | 2 Oct 2024 | 806.00 | CASCADE CARE | Not denied | — |