AMARA BAKER
Dependent on policy B04M000746
Claims
2
Attributed to this person
Charged
764.00
Total submitted
Denied
764.00
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 | AMARA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000746 |
| Date of birth | 30 Jun 1996 |
| Plan | GOLD PPO |
| Covered from | 14 Jun 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 |
|---|---|---|---|---|---|
| CLM0003262 | 19 Dec 2025 | 85.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 85.00 |
| CLM0003263 | 6 Jun 2025 | 679.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 679.00 |