IVAN PATEL
Subscriber on policy B08M000020
Claims
2
Attributed to this person
Charged
622.00
Total submitted
Denied
622.00
2 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 | IVAN PATEL |
| Role on the policy | Subscriber |
| Policy | B08M000020 |
| Date of birth | 4 Dec 1990 |
| Plan | BRONZE EPO |
| Covered from | 10 Sep 2024 |
| Covered to | 15 May 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 |
|---|---|---|---|---|---|
| CLM0000086 | 22 May 2025 | 462.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 462.00 |
| CLM0000087 | 14 Sep 2024 | 160.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 160.00 |