NADIA BAKER
Dependent on policy B07M000002
Claims
3
Attributed to this person
Charged
975.00
Total submitted
Denied
509.00
1 denied claims
Patient responsibility
21.75
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 BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000002 |
| Date of birth | 27 Jan 2023 |
| Plan | GOLD PPO |
| Covered from | 5 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 21.75 |
| Total | 21.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000015 | 9 Oct 2025 | 145.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000016 | 8 Feb 2025 | 509.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 509.00 |
| CLM0000017 | 25 Sep 2024 | 321.00 | MERIDIAN HEALTH PLAN | Not denied | — |