PRIYA BAKER
Subscriber on policy B02M000574
Claims
1
Attributed to this person
Charged
343.00
Total submitted
Denied
343.00
1 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 | PRIYA BAKER |
| Role on the policy | Subscriber |
| Policy | B02M000574 |
| Date of birth | 28 Aug 1954 |
| Plan | SILVER HMO |
| Covered from | 31 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002405 | 1 Oct 2025 | 343.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 343.00 |