LEILA BAKER
Subscriber on policy B03M000132
Claims
1
Attributed to this person
Charged
725.00
Total submitted
Denied
0.00
0 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 | LEILA BAKER |
| Role on the policy | Subscriber |
| Policy | B03M000132 |
| Date of birth | 6 Dec 1971 |
| Plan | BRONZE EPO |
| Covered from | 12 Sep 2024 |
| Covered to | 31 May 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 |
|---|---|---|---|---|---|
| CLM0000526 | 29 Nov 2024 | 725.00 | CASCADE CARE | Not denied | — |