WENDY BAKER
Subscriber on policy B04M000474
Claims
2
Attributed to this person
Charged
728.00
Total submitted
Denied
647.00
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 | WENDY BAKER |
| Role on the policy | Subscriber |
| Policy | B04M000474 |
| Date of birth | 8 Feb 1994 |
| Plan | PLATINUM PPO |
| Covered from | 18 Apr 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 |
|---|---|---|---|---|---|
| CLM0002032 | 8 Oct 2025 | 81.00 | CASCADE CARE | Not denied | — |
| CLM0002031 | 13 Jun 2025 | 647.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 647.00 |