HENRY BAKER
Dependent on policy B04M000509
Claims
3
Attributed to this person
Charged
789.00
Total submitted
Denied
20.53
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 | HENRY BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000509 |
| Date of birth | 26 Sep 2014 |
| Plan | PLATINUM PPO |
| Covered from | 15 Jan 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 |
|---|---|---|---|---|---|
| CLM0002201 | 11 Sep 2025 | 62.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 20.53 |
| CLM0002199 | 6 Jul 2025 | 416.00 | CASCADE CARE | Not denied | — |
| CLM0002200 | 9 Feb 2025 | 311.00 | CASCADE CARE | Not denied | — |