KEVIN PATEL
Subscriber on policy B09M000196
Claims
3
Attributed to this person
Charged
564.00
Total submitted
Denied
452.00
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 | KEVIN PATEL |
| Role on the policy | Subscriber |
| Policy | B09M000196 |
| Date of birth | 13 Jan 1974 |
| Plan | GOLD PPO |
| Covered from | 26 Sep 2024 |
| Covered to | 28 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000813 | 15 May 2025 | 379.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 379.00 |
| CLM0000814 | 14 Apr 2025 | 73.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 73.00 |
| CLM0000815 | 13 Feb 2025 | 112.00 | CASCADE CARE | Not denied | — |