ELENA PATEL
Dependent on policy B01M000303
Claims
1
Attributed to this person
Charged
593.00
Total submitted
Denied
283.47
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 | ELENA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000303 |
| Date of birth | 8 Aug 2002 |
| Plan | SILVER HMO |
| Covered from | 26 Dec 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 |
|---|---|---|---|---|---|
| CLM0001337 | 21 Apr 2025 | 593.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 283.47 |