TOMAS BAKER
Dependent on policy B03M000798
Claims
3
Attributed to this person
Charged
1,295.00
Total submitted
Denied
201.00
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 | TOMAS BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000798 |
| Date of birth | 13 Sep 1962 |
| Plan | BRONZE EPO |
| Covered from | 1 Jun 2025 |
| Covered to | 7 Aug 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 |
|---|---|---|---|---|---|
| CLM0003412 | 15 Sep 2025 | 597.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003411 | 16 Jul 2025 | 497.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003410 | 31 May 2025 | 201.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 201.00 |