BRIAN BAKER
Subscriber on policy B10M000828
Claims
3
Attributed to this person
Charged
933.00
Total submitted
Denied
840.00
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 | BRIAN BAKER |
| Role on the policy | Subscriber |
| Policy | B10M000828 |
| Date of birth | 18 Aug 1963 |
| Plan | BRONZE EPO |
| Covered from | 17 Apr 2024 |
| Covered to | 7 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003506 | 29 Nov 2024 | 610.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 610.00 |
| CLM0003507 | 9 May 2024 | 93.00 | CASCADE CARE | Not denied | — |
| CLM0003508 | 24 Mar 2024 | 230.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 230.00 |