ELENA PATEL
Dependent on policy B01M000607
Claims
2
Attributed to this person
Charged
1,158.00
Total submitted
Denied
796.00
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 | ELENA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000607 |
| Date of birth | 15 Jul 1976 |
| Plan | SILVER HMO |
| Covered from | 26 Jul 2024 |
| Covered to | 17 Nov 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002703 | 7 Sep 2024 | 362.00 | CASCADE CARE | Not denied | — |
| CLM0002704 | 27 Jun 2024 | 796.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 796.00 |