ELENA PATEL
Subscriber on policy B05M000240
Claims
1
Attributed to this person
Charged
179.00
Total submitted
Denied
0.00
0 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 | ELENA PATEL |
| Role on the policy | Subscriber |
| Policy | B05M000240 |
| Date of birth | 25 Mar 1999 |
| Plan | BRONZE EPO |
| Covered from | 3 Oct 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 |
|---|---|---|---|---|---|
| CLM0000995 | 15 Aug 2026 | 179.00 | CASCADE CARE | Not denied | — |