KEVIN BAKER
Subscriber on policy B03M000086
Claims
2
Attributed to this person
Charged
925.00
Total submitted
Denied
925.00
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 | KEVIN BAKER |
| Role on the policy | Subscriber |
| Policy | B03M000086 |
| Date of birth | 6 Dec 1950 |
| Plan | BRONZE EPO |
| Covered from | 30 May 2025 |
| Covered to | 3 Dec 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 |
|---|---|---|---|---|---|
| CLM0000368 | 5 Aug 2025 | 355.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 355.00 |
| CLM0000367 | 31 May 2025 | 570.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 570.00 |