NADIA BAKER
Dependent on policy B03M000798
Claims
2
Attributed to this person
Charged
845.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
489.45
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 | NADIA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000798 |
| Date of birth | 4 Nov 2004 |
| Plan | BRONZE EPO |
| Covered from | 1 Jun 2025 |
| Covered to | 7 Aug 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 489.45 |
| Total | 489.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003413 | 2 Aug 2025 | 92.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003414 | 25 Jul 2025 | 753.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |