ZARA BAKER
Dependent on policy B01M000688
Claims
2
Attributed to this person
Charged
947.00
Total submitted
Denied
947.00
2 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 | ZARA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000688 |
| Date of birth | 24 Apr 2017 |
| Plan | SILVER HMO |
| Covered from | 8 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 |
|---|---|---|---|---|---|
| CLM0003080 | 2 Jul 2025 | 875.00 | CASCADE CARE | CARC 96 · NON_COVERED | 875.00 |
| CLM0003081 | 27 Jun 2025 | 72.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 72.00 |