AMARA BAKER
Subscriber on policy B08M000806
Claims
3
Attributed to this person
Charged
903.00
Total submitted
Denied
72.00
1 denied claims
Patient responsibility
30.90
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 | AMARA BAKER |
| Role on the policy | Subscriber |
| Policy | B08M000806 |
| Date of birth | 16 Jul 1993 |
| Plan | GOLD PPO |
| Covered from | 28 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 30.90 |
| Total | 30.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003602 | 7 Jun 2025 | 206.00 | CASCADE CARE | Not denied | — |
| CLM0003601 | 12 Feb 2025 | 72.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 72.00 |
| CLM0003600 | 2 Dec 2024 | 625.00 | CASCADE CARE | Not denied | — |