MARCUS BAKER
Subscriber on policy B05M000113
Claims
2
Attributed to this person
Charged
551.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
91.80
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 | B05M000113 |
| Date of birth | 28 Apr 1953 |
| Plan | GOLD PPO |
| Covered from | 28 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 91.80 |
| Total | 91.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000473 | 26 May 2025 | 92.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000472 | 11 Jul 2024 | 459.00 | MERIDIAN HEALTH PLAN | Not denied | — |