BRIAN BAKER
Dependent on policy B09M000825
Claims
3
Attributed to this person
Charged
1,346.00
Total submitted
Denied
412.00
1 denied claims
Patient responsibility
104.80
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 | BRIAN BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000825 |
| Date of birth | 20 Apr 1994 |
| Plan | SILVER HMO |
| Covered from | 23 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 104.80 |
| Total | 104.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003507 | 26 Mar 2026 | 412.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 412.00 |
| CLM0003506 | 7 Jun 2024 | 524.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003508 | 30 Apr 2024 | 410.00 | MERIDIAN HEALTH PLAN | Not denied | — |