SOFIA PATEL
Subscriber on policy B05M000637
Claims
3
Attributed to this person
Charged
753.00
Total submitted
Denied
0.00
0 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 | SOFIA PATEL |
| Role on the policy | Subscriber |
| Policy | B05M000637 |
| Date of birth | 10 Jul 2002 |
| Plan | GOLD PPO |
| Covered from | 12 Dec 2024 |
| Covered to | 22 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002749 | 22 Feb 2025 | 88.00 | CASCADE CARE | Not denied | — |
| CLM0002750 | 3 Feb 2025 | 563.00 | CASCADE CARE | Not denied | — |
| CLM0002748 | 22 Jan 2025 | 102.00 | CASCADE CARE | Not denied | — |