DAVID USMAN
Subscriber on policy B07M000123
Claims
1
Attributed to this person
Charged
147.00
Total submitted
Denied
32.06
1 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 | DAVID USMAN |
| Role on the policy | Subscriber |
| Policy | B07M000123 |
| Date of birth | 5 Jun 1963 |
| Plan | BRONZE EPO |
| Covered from | 18 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000513 | 8 Apr 2026 | 147.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 32.06 |