MARCUS BAKER
Subscriber on policy B04M000592
Claims
2
Attributed to this person
Charged
756.00
Total submitted
Denied
603.00
1 denied claims
Patient responsibility
22.95
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 | MARCUS BAKER |
| Role on the policy | Subscriber |
| Policy | B04M000592 |
| Date of birth | 15 Nov 1952 |
| Plan | GOLD PPO |
| Covered from | 8 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 22.95 |
| Total | 22.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002593 | 13 Jan 2026 | 153.00 | CASCADE CARE | Not denied | — |
| CLM0002592 | 18 Mar 2025 | 603.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 603.00 |