RAVI CHEN
Subscriber on policy B07M000226
Claims
3
Attributed to this person
Charged
755.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
18.80
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 | RAVI CHEN |
| Role on the policy | Subscriber |
| Policy | B07M000226 |
| Date of birth | 2 Mar 1998 |
| Plan | BRONZE EPO |
| Covered from | 1 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 18.80 |
| Total | 18.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000949 | 16 Jun 2026 | 440.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000951 | 28 Jan 2026 | 94.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000950 | 19 Sep 2025 | 221.00 | MERIDIAN HEALTH PLAN | Not denied | — |