IVAN BAKER
Dependent on policy B02M000329
Claims
3
Attributed to this person
Charged
912.00
Total submitted
Denied
185.53
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 | IVAN BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000329 |
| Date of birth | 27 Jun 1974 |
| Plan | GOLD PPO |
| Covered from | 25 Feb 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 |
|---|---|---|---|---|---|
| CLM0001405 | 5 Jan 2025 | 522.00 | CASCADE CARE | Not denied | — |
| CLM0001404 | 3 Jan 2025 | 210.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 98.34 |
| CLM0001406 | 1 Apr 2024 | 180.00 | CASCADE CARE | CARC 18 · DUPLICATE | 87.19 |