ZARA JOHNSON
Dependent on policy B06M000760
Claims
2
Attributed to this person
Charged
823.00
Total submitted
Denied
823.00
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 | Dependent · relationship 19 |
| Policy | B06M000760 |
| Date of birth | 3 Mar 1987 |
| 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 |
|---|---|---|---|---|---|
| CLM0003364 | 23 Jul 2025 | 422.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 422.00 |
| CLM0003365 | 12 Feb 2025 | 401.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 401.00 |