PRIYA BAKER
Subscriber on policy B02M000332
Claims
1
Attributed to this person
Charged
609.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
91.35
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 | PRIYA BAKER |
| Role on the policy | Subscriber |
| Policy | B02M000332 |
| Date of birth | 17 Mar 1998 |
| Plan | SILVER HMO |
| Covered from | 25 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 91.35 |
| Total | 91.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001419 | 13 Nov 2025 | 609.00 | MERIDIAN HEALTH PLAN | Not denied | — |