ZARA PATEL
Dependent on policy B05M000692
Claims
2
Attributed to this person
Charged
686.00
Total submitted
Denied
686.00
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 | ZARA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000692 |
| Date of birth | 19 Jul 1988 |
| Plan | BRONZE EPO |
| Covered from | 27 Jan 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 |
|---|---|---|---|---|---|
| CLM0002963 | 23 Oct 2025 | 267.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 267.00 |
| CLM0002962 | 13 Jul 2025 | 419.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 419.00 |