VICTOR BAKER
Subscriber on policy B04M000869
Claims
1
Attributed to this person
Charged
807.00
Total submitted
Denied
387.14
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 BAKER |
| Role on the policy | Subscriber |
| Policy | B04M000869 |
| Date of birth | 8 May 1961 |
| Plan | BRONZE EPO |
| Covered from | 23 Nov 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 |
|---|---|---|---|---|---|
| CLM0003753 | 28 Mar 2026 | 807.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 387.14 |