VICTOR PATEL
Dependent on policy B05M000583
Claims
3
Attributed to this person
Charged
1,169.00
Total submitted
Denied
465.00
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 | VICTOR PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000583 |
| Date of birth | 1 Mar 2007 |
| Plan | SILVER HMO |
| Covered from | 24 Jun 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 |
|---|---|---|---|---|---|
| CLM0002484 | 10 Nov 2025 | 465.00 | CASCADE CARE | CARC 11 · CODING | 465.00 |
| CLM0002483 | 11 Oct 2025 | 179.00 | CASCADE CARE | Not denied | — |
| CLM0002485 | 5 Aug 2025 | 525.00 | CASCADE CARE | Not denied | — |