MARCUS BAKER
Subscriber on policy B06M000611
Claims
3
Attributed to this person
Charged
1,239.00
Total submitted
Denied
654.12
2 denied claims
Patient responsibility
33.90
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 | MARCUS BAKER |
| Role on the policy | Subscriber |
| Policy | B06M000611 |
| Date of birth | 10 Feb 1966 |
| Plan | SILVER HMO |
| Covered from | 3 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 33.90 |
| Total | 33.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002729 | 14 May 2026 | 377.00 | CASCADE CARE | CARC 18 · DUPLICATE | 377.00 |
| CLM0002727 | 6 Nov 2024 | 226.00 | CASCADE CARE | Not denied | — |
| CLM0002728 | 8 Sep 2024 | 636.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 277.12 |