LEILA BAKER
Dependent on policy B05M000310
Claims
1
Attributed to this person
Charged
759.00
Total submitted
Denied
759.00
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 | LEILA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000310 |
| Date of birth | 29 Sep 1960 |
| Plan | SILVER HMO |
| Covered from | 31 Jul 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 |
|---|---|---|---|---|---|
| CLM0001290 | 20 Jan 2026 | 759.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 759.00 |