JULIA BAKER
Dependent on policy B09M000538
Claims
1
Attributed to this person
Charged
354.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
53.10
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 | JULIA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000538 |
| Date of birth | 31 Oct 2002 |
| Plan | SILVER HMO |
| Covered from | 15 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 53.10 |
| Total | 53.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002265 | 9 Jun 2025 | 354.00 | CASCADE CARE | Not denied | — |