ELENA PATEL
Subscriber on policy B10M000114
Claims
3
Attributed to this person
Charged
1,692.00
Total submitted
Denied
211.69
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 | ELENA PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000114 |
| Date of birth | 7 Jun 1985 |
| Plan | GOLD PPO |
| Covered from | 6 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000466 | 16 May 2026 | 879.00 | CASCADE CARE | CARC 109 · COB | 211.69 |
| CLM0000465 | 18 Dec 2025 | 189.00 | CASCADE CARE | Not denied | — |
| CLM0000467 | 9 Nov 2025 | 624.00 | CASCADE CARE | Not denied | — |