BRIAN PATEL
Dependent on policy B02M000889
Claims
1
Attributed to this person
Charged
287.00
Total submitted
Denied
90.37
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 | BRIAN PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000889 |
| Date of birth | 8 Feb 1995 |
| Plan | PLATINUM PPO |
| Covered from | 15 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 |
|---|---|---|---|---|---|
| CLM0003701 | 21 Oct 2024 | 287.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 90.37 |