CARLA BAKER
Dependent on policy B06M000608
Claims
1
Attributed to this person
Charged
706.00
Total submitted
Denied
706.00
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 | CARLA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000608 |
| Date of birth | 10 Aug 1957 |
| Plan | BRONZE EPO |
| Covered from | 7 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002717 | 17 Jan 2026 | 706.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 706.00 |