NADIA EVANS
Dependent on policy B05M000511
Claims
1
Attributed to this person
Charged
507.00
Total submitted
Denied
507.00
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 EVANS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000511 |
| Date of birth | 20 May 2022 |
| Plan | PLATINUM PPO |
| Covered from | 7 Apr 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 |
|---|---|---|---|---|---|
| CLM0002194 | 27 Feb 2026 | 507.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 507.00 |