UMA BAKER
Dependent on policy B06M000079
Claims
3
Attributed to this person
Charged
521.00
Total submitted
Denied
112.00
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 | UMA BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000079 |
| Date of birth | 9 Feb 1955 |
| Plan | GOLD PPO |
| Covered from | 9 Aug 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 |
|---|---|---|---|---|---|
| CLM0000413 | 1 Feb 2026 | 112.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 112.00 |
| CLM0000415 | 28 Jun 2025 | 285.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000414 | 19 Jan 2025 | 124.00 | MERIDIAN HEALTH PLAN | Not denied | — |