AMARA BAKER
Dependent on policy B01M000581
Claims
3
Attributed to this person
Charged
1,359.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
104.40
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 | AMARA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000581 |
| Date of birth | 26 Dec 2018 |
| Plan | PLATINUM PPO |
| Covered from | 9 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 104.40 |
| Total | 104.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002598 | 25 Oct 2025 | 600.00 | CASCADE CARE | Not denied | — |
| CLM0002597 | 11 Mar 2025 | 237.00 | CASCADE CARE | Not denied | — |
| CLM0002596 | 24 Jun 2024 | 522.00 | CASCADE CARE | Not denied | — |