ZARA BAKER
Dependent on policy B02M000788
Claims
2
Attributed to this person
Charged
810.00
Total submitted
Denied
810.00
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 | ZARA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000788 |
| Date of birth | 6 Jun 1951 |
| Plan | PLATINUM PPO |
| Covered from | 4 Jan 2025 |
| Covered to | 18 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003293 | 1 Oct 2025 | 474.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 474.00 |
| CLM0003292 | 6 Dec 2024 | 336.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 336.00 |