PRIYA USMAN
Subscriber on policy B04M000662
Claims
3
Attributed to this person
Charged
1,872.00
Total submitted
Denied
554.41
2 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 | PRIYA USMAN |
| Role on the policy | Subscriber |
| Policy | B04M000662 |
| Date of birth | 1 May 1952 |
| Plan | GOLD PPO |
| Covered from | 23 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 |
|---|---|---|---|---|---|
| CLM0002884 | 19 Jul 2026 | 789.00 | CASCADE CARE | Not denied | — |
| CLM0002886 | 26 Apr 2026 | 885.00 | CASCADE CARE | CARC 109 · COB | 356.41 |
| CLM0002885 | 27 Aug 2025 | 198.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 198.00 |