MARCUS BAKER
Dependent on policy B03M000164
Claims
3
Attributed to this person
Charged
716.00
Total submitted
Denied
378.00
2 denied claims
Patient responsibility
67.60
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 | MARCUS BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000164 |
| Date of birth | 13 Feb 1983 |
| Plan | SILVER HMO |
| Covered from | 16 Sep 2024 |
| Covered to | 28 Jun 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 67.60 |
| Total | 67.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000673 | 14 Aug 2025 | 112.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 112.00 |
| CLM0000672 | 26 Jul 2025 | 266.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 266.00 |
| CLM0000674 | 1 Jun 2025 | 338.00 | MERIDIAN HEALTH PLAN | Not denied | — |