IVAN PATEL
Subscriber on policy B08M000347
Claims
3
Attributed to this person
Charged
2,021.00
Total submitted
Denied
1,670.00
2 denied claims
Patient responsibility
52.65
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 | B08M000347 |
| Date of birth | 22 Mar 2004 |
| Plan | SILVER HMO |
| Covered from | 18 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 52.65 |
| Total | 52.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001593 | 8 Jan 2026 | 351.00 | CASCADE CARE | Not denied | — |
| CLM0001594 | 18 Nov 2025 | 782.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 782.00 |
| CLM0001595 | 2 Jun 2025 | 888.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 888.00 |