GRACE PATEL
Dependent on policy B08M000347
Claims
3
Attributed to this person
Charged
828.00
Total submitted
Denied
568.00
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 | GRACE PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000347 |
| Date of birth | 20 Apr 2007 |
| Plan | SILVER HMO |
| Covered from | 18 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001601 | 8 Jun 2025 | 260.00 | CASCADE CARE | Not denied | — |
| CLM0001600 | 3 Dec 2024 | 302.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 302.00 |
| CLM0001602 | 16 Nov 2024 | 266.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 266.00 |