WENDY USMAN
Subscriber on policy B07M000076
Claims
2
Attributed to this person
Charged
976.00
Total submitted
Denied
0.00
0 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 | WENDY USMAN |
| Role on the policy | Subscriber |
| Policy | B07M000076 |
| Date of birth | 13 Dec 1999 |
| Plan | GOLD PPO |
| Covered from | 3 Feb 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 |
|---|---|---|---|---|---|
| CLM0000324 | 12 Apr 2024 | 803.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000323 | 5 Feb 2024 | 173.00 | MERIDIAN HEALTH PLAN | Not denied | — |