YUSUF BAKER
Subscriber on policy B08M000548
Claims
2
Attributed to this person
Charged
962.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
134.40
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 | YUSUF BAKER |
| Role on the policy | Subscriber |
| Policy | B08M000548 |
| Date of birth | 8 Nov 1993 |
| Plan | BRONZE EPO |
| Covered from | 20 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 134.40 |
| Total | 134.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002508 | 27 Aug 2025 | 896.00 | CASCADE CARE | Not denied | — |
| CLM0002507 | 7 Jun 2025 | 66.00 | CASCADE CARE | Not denied | — |