RAVI BAKER
Subscriber on policy B09M000139
Claims
2
Attributed to this person
Charged
408.00
Total submitted
Denied
165.00
1 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 | RAVI BAKER |
| Role on the policy | Subscriber |
| Policy | B09M000139 |
| Date of birth | 10 Jun 1995 |
| Plan | BRONZE EPO |
| Covered from | 2 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000574 | 9 Jul 2026 | 243.00 | CASCADE CARE | Not denied | — |
| CLM0000573 | 16 Oct 2024 | 165.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 165.00 |