HENRY BAKER
Dependent on policy B08M000548
Claims
3
Attributed to this person
Charged
870.00
Total submitted
Denied
562.00
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 | HENRY BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000548 |
| Date of birth | 24 Jan 2021 |
| Plan | BRONZE EPO |
| Covered from | 20 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002511 | 23 Mar 2025 | 290.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 290.00 |
| CLM0002510 | 19 Feb 2025 | 308.00 | CASCADE CARE | Not denied | — |
| CLM0002512 | 9 Jan 2025 | 272.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 272.00 |