GRACE PATEL
Subscriber on policy B10M000348
Claims
3
Attributed to this person
Charged
1,363.00
Total submitted
Denied
127.15
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 | GRACE PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000348 |
| Date of birth | 3 Jul 1993 |
| Plan | SILVER HMO |
| Covered from | 1 Feb 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 |
|---|---|---|---|---|---|
| CLM0001454 | 27 Jul 2026 | 631.00 | CASCADE CARE | Not denied | — |
| CLM0001453 | 22 Feb 2026 | 451.00 | CASCADE CARE | Not denied | — |
| CLM0001455 | 30 May 2024 | 281.00 | CASCADE CARE | CARC 96 · NON_COVERED | 127.15 |