FIONA JOHNSON
Subscriber on policy B05M000631
Claims
3
Attributed to this person
Charged
1,416.00
Total submitted
Denied
25.57
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 | FIONA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B05M000631 |
| Date of birth | 11 Sep 1971 |
| Plan | PLATINUM PPO |
| Covered from | 6 May 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 |
|---|---|---|---|---|---|
| CLM0002719 | 30 Aug 2025 | 758.00 | CASCADE CARE | Not denied | — |
| CLM0002718 | 14 Oct 2024 | 79.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 25.57 |
| CLM0002720 | 23 Jun 2024 | 579.00 | CASCADE CARE | Not denied | — |