OMAR BAKER
Dependent on policy B10M000455
Claims
2
Attributed to this person
Charged
508.00
Total submitted
Denied
132.00
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 | OMAR BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000455 |
| Date of birth | 1 May 1970 |
| Plan | SILVER HMO |
| Covered from | 13 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 |
|---|---|---|---|---|---|
| CLM0001883 | 11 Apr 2025 | 376.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001882 | 15 Jul 2024 | 132.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 132.00 |