HENRY PATEL
Dependent on policy B05M000486
Claims
3
Attributed to this person
Charged
1,803.00
Total submitted
Denied
669.32
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 | HENRY PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000486 |
| Date of birth | 20 Aug 2007 |
| Plan | SILVER HMO |
| Covered from | 10 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 |
|---|---|---|---|---|---|
| CLM0002064 | 7 May 2026 | 900.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 185.32 |
| CLM0002065 | 12 Mar 2026 | 484.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 484.00 |
| CLM0002066 | 20 Jun 2025 | 419.00 | CASCADE CARE | Not denied | — |