KEVIN GARCIA
Subscriber on policy B06M000866
Claims
2
Attributed to this person
Charged
871.00
Total submitted
Denied
567.21
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 | KEVIN GARCIA |
| Role on the policy | Subscriber |
| Policy | B06M000866 |
| Date of birth | 14 Jun 1960 |
| Plan | SILVER HMO |
| Covered from | 16 Dec 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 |
|---|---|---|---|---|---|
| CLM0003777 | 10 Feb 2026 | 413.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 109.21 |
| CLM0003776 | 31 Dec 2024 | 458.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 458.00 |