IVAN BAKER
Dependent on policy B09M000471
Claims
2
Attributed to this person
Charged
1,114.00
Total submitted
Denied
658.89
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 | IVAN BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000471 |
| Date of birth | 2 Jan 1983 |
| Plan | SILVER HMO |
| Covered from | 18 Apr 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 |
|---|---|---|---|---|---|
| CLM0001998 | 24 Jul 2026 | 511.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 511.00 |
| CLM0001999 | 27 Jan 2026 | 603.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 147.89 |