LEILA PATEL
Dependent on policy B09M000892
Claims
2
Attributed to this person
Charged
547.00
Total submitted
Denied
410.00
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 | LEILA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000892 |
| Date of birth | 11 Jun 2003 |
| Plan | BRONZE EPO |
| Covered from | 31 Dec 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 |
|---|---|---|---|---|---|
| CLM0003810 | 8 Jan 2025 | 410.00 | CASCADE CARE | CARC 18 · DUPLICATE | 410.00 |
| CLM0003811 | 1 Dec 2024 | 137.00 | CASCADE CARE | Not denied | — |