MARCUS BAKER
Dependent on policy B05M000031
Claims
1
Attributed to this person
Charged
542.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
81.30
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 | Dependent · relationship 01 |
| Policy | B05M000031 |
| Date of birth | 22 Feb 2007 |
| Plan | PLATINUM PPO |
| Covered from | 11 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 81.30 |
| Total | 81.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000137 | 19 Aug 2026 | 542.00 | MERIDIAN HEALTH PLAN | Not denied | — |