ELENA BAKER
Dependent on policy B06M000627
Claims
3
Attributed to this person
Charged
948.00
Total submitted
Denied
92.29
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 | ELENA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000627 |
| Date of birth | 6 Dec 1993 |
| Plan | SILVER HMO |
| Covered from | 2 Jan 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 |
|---|---|---|---|---|---|
| CLM0002799 | 12 Feb 2026 | 252.00 | CASCADE CARE | Not denied | — |
| CLM0002800 | 14 Jan 2026 | 236.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 92.29 |
| CLM0002801 | 17 Mar 2025 | 460.00 | CASCADE CARE | Not denied | — |