YUSUF PATEL
Subscriber on policy B03M000670
Claims
2
Attributed to this person
Charged
1,055.00
Total submitted
Denied
268.31
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 | YUSUF PATEL |
| Role on the policy | Subscriber |
| Policy | B03M000670 |
| Date of birth | 26 Jan 1957 |
| Plan | SILVER HMO |
| Covered from | 25 May 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 |
|---|---|---|---|---|---|
| CLM0002777 | 31 May 2026 | 305.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 103.09 |
| CLM0002778 | 21 Jan 2025 | 750.00 | CASCADE CARE | CARC 18 · DUPLICATE | 165.22 |