KEVIN BAKER
Subscriber on policy B01M000874
Claims
2
Attributed to this person
Charged
947.00
Total submitted
Denied
947.00
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 | KEVIN BAKER |
| Role on the policy | Subscriber |
| Policy | B01M000874 |
| Date of birth | 22 Jun 1989 |
| Plan | PLATINUM PPO |
| Covered from | 23 Mar 2025 |
| Covered to | 24 Aug 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 |
|---|---|---|---|---|---|
| CLM0003876 | 22 Jul 2025 | 763.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 763.00 |
| CLM0003875 | 24 Feb 2025 | 184.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 184.00 |