PRIYA BAKER
Dependent on policy B07M000675
Claims
3
Attributed to this person
Charged
687.00
Total submitted
Denied
142.11
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 | PRIYA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000675 |
| Date of birth | 14 Dec 1942 |
| Plan | GOLD PPO |
| Covered from | 3 Mar 2025 |
| Covered to | 8 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002802 | 14 Oct 2025 | 209.00 | CASCADE CARE | Not denied | — |
| CLM0002804 | 13 Aug 2025 | 358.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 142.11 |
| CLM0002803 | 17 Apr 2025 | 120.00 | CASCADE CARE | Not denied | — |