BRIAN BAKER
Subscriber on policy B03M000339
Claims
2
Attributed to this person
Charged
849.00
Total submitted
Denied
590.00
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 | BRIAN BAKER |
| Role on the policy | Subscriber |
| Policy | B03M000339 |
| Date of birth | 17 Jun 2000 |
| Plan | GOLD PPO |
| Covered from | 23 Oct 2024 |
| Covered to | 25 Jul 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 |
|---|---|---|---|---|---|
| CLM0001363 | 19 Sep 2025 | 590.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 590.00 |
| CLM0001362 | 15 Apr 2025 | 259.00 | CASCADE CARE | Not denied | — |