JULIA BAKER
Dependent on policy B05M000577
Claims
2
Attributed to this person
Charged
576.00
Total submitted
Denied
460.00
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 | JULIA BAKER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000577 |
| Date of birth | 3 Jan 1995 |
| Plan | PLATINUM PPO |
| Covered from | 21 Feb 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 |
|---|---|---|---|---|---|
| CLM0002459 | 12 Jun 2026 | 116.00 | CASCADE CARE | Not denied | — |
| CLM0002458 | 29 Nov 2024 | 460.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 460.00 |