ZARA JOHNSON
Subscriber on policy B06M000760
Claims
3
Attributed to this person
Charged
1,448.00
Total submitted
Denied
1,223.00
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 JOHNSON |
| Role on the policy | Subscriber |
| Policy | B06M000760 |
| Date of birth | 30 Oct 1953 |
| Plan | GOLD PPO |
| Covered from | 1 Mar 2025 |
| Covered to | 25 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003362 | 5 Apr 2025 | 225.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003360 | 5 Mar 2025 | 399.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 399.00 |
| CLM0003361 | 17 Feb 2025 | 824.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 824.00 |