PRIYA PATEL
Subscriber on policy B03M000422
Claims
3
Attributed to this person
Charged
2,123.00
Total submitted
Denied
2,123.00
3 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 | PRIYA PATEL |
| Role on the policy | Subscriber |
| Policy | B03M000422 |
| Date of birth | 23 Nov 2000 |
| Plan | GOLD PPO |
| Covered from | 31 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001714 | 17 Jan 2026 | 518.00 | CASCADE CARE | CARC 18 · DUPLICATE | 518.00 |
| CLM0001716 | 5 Jan 2026 | 809.00 | CASCADE CARE | CARC 18 · DUPLICATE | 809.00 |
| CLM0001715 | 1 Feb 2025 | 796.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 796.00 |