UMA BAKER
Subscriber on policy B04M000844
Claims
3
Attributed to this person
Charged
706.00
Total submitted
Denied
218.00
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 | UMA BAKER |
| Role on the policy | Subscriber |
| Policy | B04M000844 |
| Date of birth | 25 Mar 1983 |
| Plan | PLATINUM PPO |
| Covered from | 10 Jul 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 |
|---|---|---|---|---|---|
| CLM0003647 | 4 Dec 2025 | 488.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003645 | 26 Oct 2025 | 151.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 151.00 |
| CLM0003646 | 24 Jan 2025 | 67.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 67.00 |