HENRY ANDERSON
Dependent on policy B07M000253
Claims
3
Attributed to this person
Charged
950.00
Total submitted
Denied
479.00
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 | HENRY ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000253 |
| Date of birth | 15 Feb 2014 |
| Plan | BRONZE EPO |
| Covered from | 22 Nov 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 |
|---|---|---|---|---|---|
| CLM0001084 | 16 Mar 2026 | 471.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001083 | 31 Jan 2026 | 75.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 75.00 |
| CLM0001085 | 16 Feb 2025 | 404.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 404.00 |