JULIA ANDERSON
Dependent on policy B05M000338
Claims
2
Attributed to this person
Charged
793.00
Total submitted
Denied
793.00
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 | JULIA ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000338 |
| Date of birth | 20 Apr 1950 |
| Plan | PLATINUM PPO |
| Covered from | 12 Apr 2025 |
| Covered to | 13 Jun 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 |
|---|---|---|---|---|---|
| CLM0001441 | 21 Jul 2025 | 165.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 165.00 |
| CLM0001442 | 15 Jul 2025 | 628.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 628.00 |