TOMAS BAKER
Subscriber on policy B07M000890
Claims
3
Attributed to this person
Charged
2,389.00
Total submitted
Denied
849.00
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 | TOMAS BAKER |
| Role on the policy | Subscriber |
| Policy | B07M000890 |
| Date of birth | 11 Aug 1979 |
| Plan | BRONZE EPO |
| Covered from | 22 Mar 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 |
|---|---|---|---|---|---|
| CLM0003683 | 7 May 2026 | 895.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003685 | 20 Nov 2025 | 849.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 849.00 |
| CLM0003684 | 12 Jul 2025 | 645.00 | MERIDIAN HEALTH PLAN | Not denied | — |