LEILA BAKER
Subscriber on policy B08M000651
Claims
3
Attributed to this person
Charged
436.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
54.20
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 | LEILA BAKER |
| Role on the policy | Subscriber |
| Policy | B08M000651 |
| Date of birth | 31 Dec 1986 |
| Plan | BRONZE EPO |
| Covered from | 10 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 54.20 |
| Total | 54.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002946 | 9 Feb 2026 | 271.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002945 | 9 Jul 2025 | 73.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002947 | 19 Apr 2025 | 92.00 | NORTHSTAR MUTUAL | Not denied | — |