YUSUF BAKER
Dependent on policy B09M000325
Claims
1
Attributed to this person
Charged
843.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
126.45
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 | Dependent · relationship 19 |
| Policy | B09M000325 |
| Date of birth | 6 Apr 2007 |
| Plan | BRONZE EPO |
| Covered from | 30 May 2025 |
| Covered to | 18 Mar 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 126.45 |
| Total | 126.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001354 | 25 Jan 2026 | 843.00 | MERIDIAN HEALTH PLAN | Not denied | — |