LEILA PATEL
Subscriber on policy B06M000557
Claims
2
Attributed to this person
Charged
272.00
Total submitted
Denied
272.00
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 | LEILA PATEL |
| Role on the policy | Subscriber |
| Policy | B06M000557 |
| Date of birth | 25 Jan 2004 |
| Plan | PLATINUM PPO |
| Covered from | 13 Oct 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 |
|---|---|---|---|---|---|
| CLM0002485 | 26 May 2026 | 68.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 68.00 |
| CLM0002484 | 20 Apr 2026 | 204.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 204.00 |