JULIA EVANS
Subscriber on policy B06M000862
Claims
3
Attributed to this person
Charged
2,052.00
Total submitted
Denied
1,364.00
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 | JULIA EVANS |
| Role on the policy | Subscriber |
| Policy | B06M000862 |
| Date of birth | 31 Dec 1979 |
| Plan | BRONZE EPO |
| Covered from | 7 May 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 |
|---|---|---|---|---|---|
| CLM0003764 | 26 May 2024 | 725.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 725.00 |
| CLM0003765 | 22 May 2024 | 688.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003766 | 23 Apr 2024 | 639.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 639.00 |