MARCUS ANDERSON
Dependent on policy B06M000747
Claims
1
Attributed to this person
Charged
563.00
Total submitted
Denied
563.00
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 | MARCUS ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000747 |
| Date of birth | 18 Aug 1983 |
| Plan | BRONZE EPO |
| Covered from | 4 Aug 2024 |
| Covered to | 22 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003313 | 5 Jul 2024 | 563.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 563.00 |