NADIA BAKER
Dependent on policy B09M000326
Claims
2
Attributed to this person
Charged
908.00
Total submitted
Denied
622.00
1 denied claims
Patient responsibility
57.20
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 | NADIA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000326 |
| Date of birth | 18 Sep 1966 |
| Plan | PLATINUM PPO |
| Covered from | 18 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 57.20 |
| Total | 57.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001356 | 4 Nov 2025 | 622.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 622.00 |
| CLM0001357 | 17 Jul 2024 | 286.00 | MERIDIAN HEALTH PLAN | Not denied | — |