HENRY BAKER
Subscriber on policy B10M000837
Claims
1
Attributed to this person
Charged
586.00
Total submitted
Denied
586.00
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 | HENRY BAKER |
| Role on the policy | Subscriber |
| Policy | B10M000837 |
| Date of birth | 3 May 2004 |
| Plan | GOLD PPO |
| Covered from | 18 Apr 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 |
|---|---|---|---|---|---|
| CLM0003558 | 5 Apr 2025 | 586.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 586.00 |