VICTOR PATEL
Subscriber on policy B04M000243
Claims
2
Attributed to this person
Charged
807.00
Total submitted
Denied
307.99
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 | VICTOR PATEL |
| Role on the policy | Subscriber |
| Policy | B04M000243 |
| Date of birth | 10 Oct 1999 |
| Plan | GOLD PPO |
| Covered from | 21 Oct 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 |
|---|---|---|---|---|---|
| CLM0001054 | 17 Feb 2026 | 623.00 | CASCADE CARE | CARC 109 · COB | 307.99 |
| CLM0001053 | 14 Oct 2025 | 184.00 | CASCADE CARE | Not denied | — |