TOMAS PATEL
Dependent on policy B08M000020
Claims
2
Attributed to this person
Charged
879.00
Total submitted
Denied
310.00
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 PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000020 |
| Date of birth | 15 Mar 2019 |
| 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 |
|---|---|---|---|---|---|
| CLM0000091 | 6 Mar 2025 | 310.00 | CASCADE CARE | CARC 18 · DUPLICATE | 310.00 |
| CLM0000092 | 11 Oct 2024 | 569.00 | CASCADE CARE | Not denied | — |