NADIA BAKER
Subscriber on policy B09M000064
Claims
2
Attributed to this person
Charged
794.00
Total submitted
Denied
83.00
1 denied claims
Patient responsibility
142.20
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 | Subscriber |
| Policy | B09M000064 |
| Date of birth | 9 Sep 1975 |
| Plan | GOLD PPO |
| Covered from | 8 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 142.20 |
| Total | 142.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000286 | 25 Jun 2026 | 83.00 | CASCADE CARE | CARC 11 · CODING | 83.00 |
| CLM0000287 | 16 Jan 2026 | 711.00 | CASCADE CARE | Not denied | — |