NADIA BAKER
Subscriber on policy B03M000712
Claims
1
Attributed to this person
Charged
136.00
Total submitted
Denied
28.93
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 | NADIA BAKER |
| Role on the policy | Subscriber |
| Policy | B03M000712 |
| Date of birth | 8 Aug 1950 |
| Plan | GOLD PPO |
| Covered from | 28 Dec 2024 |
| Covered to | 28 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 |
|---|---|---|---|---|---|
| CLM0002978 | 13 Mar 2025 | 136.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 28.93 |