UMA PATEL
Dependent on policy B09M000657
Claims
2
Attributed to this person
Charged
859.00
Total submitted
Denied
255.80
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 | UMA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000657 |
| Date of birth | 14 Nov 1971 |
| Plan | SILVER HMO |
| Covered from | 28 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002793 | 10 Jul 2026 | 290.00 | CASCADE CARE | Not denied | — |
| CLM0002794 | 9 Oct 2025 | 569.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 255.80 |