SOFIA PATEL
Subscriber on policy B03M000757
Claims
2
Attributed to this person
Charged
406.00
Total submitted
Denied
158.00
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 | SOFIA PATEL |
| Role on the policy | Subscriber |
| Policy | B03M000757 |
| Date of birth | 23 Oct 1971 |
| Plan | GOLD PPO |
| Covered from | 21 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003178 | 9 Jun 2026 | 158.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 158.00 |
| CLM0003177 | 2 Dec 2025 | 248.00 | CASCADE CARE | Not denied | — |