MARCUS BAKER
Subscriber on policy B10M000666
Claims
3
Attributed to this person
Charged
1,975.00
Total submitted
Denied
761.00
1 denied claims
Patient responsibility
75.30
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 | MARCUS BAKER |
| Role on the policy | Subscriber |
| Policy | B10M000666 |
| Date of birth | 11 Feb 1957 |
| Plan | GOLD PPO |
| Covered from | 8 Feb 2024 |
| Covered to | 11 Nov 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 75.30 |
| Total | 75.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002768 | 16 Dec 2024 | 761.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 761.00 |
| CLM0002769 | 22 Jul 2024 | 502.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002770 | 18 Apr 2024 | 712.00 | MERIDIAN HEALTH PLAN | Not denied | — |