RAVI PATEL
Dependent on policy B09M000672
Claims
2
Attributed to this person
Charged
971.00
Total submitted
Denied
76.24
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 | RAVI PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000672 |
| Date of birth | 10 Jan 2019 |
| Plan | BRONZE EPO |
| Covered from | 22 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002868 | 2 Aug 2026 | 729.00 | CASCADE CARE | Not denied | — |
| CLM0002867 | 20 Oct 2024 | 242.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 76.24 |