AMARA PATEL
Subscriber on policy B02M000262
Claims
2
Attributed to this person
Charged
700.00
Total submitted
Denied
607.00
1 denied claims
Patient responsibility
18.60
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 | AMARA PATEL |
| Role on the policy | Subscriber |
| Policy | B02M000262 |
| Date of birth | 25 May 1959 |
| Plan | PLATINUM PPO |
| Covered from | 22 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 18.60 |
| Total | 18.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001151 | 6 Jan 2026 | 93.00 | CASCADE CARE | Not denied | — |
| CLM0001152 | 11 Sep 2025 | 607.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 607.00 |