NADIA JOHNSON
Subscriber on policy B05M000759
Claims
2
Attributed to this person
Charged
799.00
Total submitted
Denied
267.00
1 denied claims
Patient responsibility
79.80
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 JOHNSON |
| Role on the policy | Subscriber |
| Policy | B05M000759 |
| Date of birth | 23 Jul 1977 |
| Plan | BRONZE EPO |
| Covered from | 28 Nov 2024 |
| Covered to | 19 Aug 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 79.80 |
| Total | 79.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003252 | 30 Sep 2025 | 532.00 | CASCADE CARE | Not denied | — |
| CLM0003251 | 26 Aug 2025 | 267.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 267.00 |