VICTOR BAKER
Subscriber on policy B05M000367
Claims
3
Attributed to this person
Charged
1,261.00
Total submitted
Denied
351.56
2 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 | VICTOR BAKER |
| Role on the policy | Subscriber |
| Policy | B05M000367 |
| Date of birth | 9 Apr 1966 |
| Plan | PLATINUM PPO |
| Covered from | 7 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001564 | 30 Sep 2025 | 376.00 | CASCADE CARE | CARC 109 · COB | 117.56 |
| CLM0001562 | 23 Jun 2025 | 234.00 | CASCADE CARE | CARC 96 · NON_COVERED | 234.00 |
| CLM0001563 | 9 May 2025 | 651.00 | CASCADE CARE | Not denied | — |