ZARA JOHNSON
Subscriber on policy B05M000010
Claims
3
Attributed to this person
Charged
847.00
Total submitted
Denied
118.00
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 | ZARA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B05M000010 |
| Date of birth | 25 Oct 1996 |
| Plan | GOLD PPO |
| Covered from | 3 Apr 2025 |
| Covered to | 2 Dec 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 |
|---|---|---|---|---|---|
| CLM0000035 | 23 Jan 2026 | 98.00 | CASCADE CARE | Not denied | — |
| CLM0000036 | 24 Oct 2025 | 118.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 118.00 |
| CLM0000034 | 20 Jun 2025 | 631.00 | CASCADE CARE | Not denied | — |