NADIA BAKER
Dependent on policy B05M000689
Claims
1
Attributed to this person
Charged
601.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
390.65
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 | NADIA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000689 |
| Date of birth | 11 Nov 1973 |
| Plan | PLATINUM PPO |
| Covered from | 1 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 390.65 |
| Total | 390.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002953 | 24 Nov 2025 | 601.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |