UMA BAKER
Subscriber on policy B02M000679
Claims
2
Attributed to this person
Charged
1,325.00
Total submitted
Denied
1,325.00
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 | UMA BAKER |
| Role on the policy | Subscriber |
| Policy | B02M000679 |
| Date of birth | 29 Oct 2002 |
| Plan | SILVER HMO |
| Covered from | 19 Oct 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002869 | 20 Mar 2026 | 891.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 891.00 |
| CLM0002870 | 23 Jul 2025 | 434.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 434.00 |