KEVIN JOHNSON
Subscriber on policy B06M000567
Claims
3
Attributed to this person
Charged
1,370.00
Total submitted
Denied
247.13
1 denied claims
Patient responsibility
63.80
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 | KEVIN JOHNSON |
| Role on the policy | Subscriber |
| Policy | B06M000567 |
| Date of birth | 29 Jul 2000 |
| Plan | BRONZE EPO |
| Covered from | 23 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 63.80 |
| Total | 63.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002534 | 15 Jun 2026 | 319.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002532 | 6 Oct 2025 | 689.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 247.13 |
| CLM0002533 | 18 Dec 2024 | 362.00 | MERIDIAN HEALTH PLAN | Not denied | — |