MARCUS BAKER
Dependent on policy B08M000334
Claims
2
Attributed to this person
Charged
807.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
111.90
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 | Dependent · relationship 01 |
| Policy | B08M000334 |
| Date of birth | 27 Feb 1989 |
| Plan | PLATINUM PPO |
| Covered from | 15 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 111.90 |
| Total | 111.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001543 | 16 Dec 2025 | 746.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001544 | 12 Nov 2025 | 61.00 | NORTHSTAR MUTUAL | Not denied | — |