TOMAS PATEL
Dependent on policy B07M000231
Claims
1
Attributed to this person
Charged
363.00
Total submitted
Denied
363.00
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 | TOMAS PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000231 |
| Date of birth | 10 Aug 1956 |
| Plan | PLATINUM PPO |
| Covered from | 5 Jun 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 |
|---|---|---|---|---|---|
| CLM0000976 | 14 May 2025 | 363.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 363.00 |