AMARA PATEL
Subscriber on policy B02M000364
Claims
2
Attributed to this person
Charged
501.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
213.85
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 | B02M000364 |
| Date of birth | 29 Jun 1982 |
| Plan | SILVER HMO |
| Covered from | 9 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 213.85 |
| Total | 213.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001560 | 29 Jul 2026 | 172.00 | CASCADE CARE | Not denied | — |
| CLM0001561 | 11 Jan 2025 | 329.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |