LEILA BAKER
Subscriber on policy B06M000711
Claims
1
Attributed to this person
Charged
527.00
Total submitted
Denied
214.82
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 | LEILA BAKER |
| Role on the policy | Subscriber |
| Policy | B06M000711 |
| Date of birth | 23 Aug 1967 |
| Plan | SILVER HMO |
| Covered from | 24 Dec 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 |
|---|---|---|---|---|---|
| CLM0003164 | 8 Jan 2026 | 527.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 214.82 |