UMA BAKER
Subscriber on policy B05M000201
Claims
1
Attributed to this person
Charged
463.00
Total submitted
Denied
463.00
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 | UMA BAKER |
| Role on the policy | Subscriber |
| Policy | B05M000201 |
| Date of birth | 8 Dec 1961 |
| Plan | GOLD PPO |
| Covered from | 3 Jan 2025 |
| Covered to | 2 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000847 | 29 Dec 2024 | 463.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 463.00 |