GRACE BAKER
Subscriber on policy B10M000707
Claims
1
Attributed to this person
Charged
102.00
Total submitted
Denied
102.00
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 | GRACE BAKER |
| Role on the policy | Subscriber |
| Policy | B10M000707 |
| Date of birth | 26 Aug 1991 |
| Plan | PLATINUM PPO |
| Covered from | 31 Aug 2024 |
| Covered to | 16 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002959 | 22 Jul 2025 | 102.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 102.00 |