TOMAS JOHNSON
Subscriber on policy B07M000314
Claims
3
Attributed to this person
Charged
1,163.00
Total submitted
Denied
357.49
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 JOHNSON |
| Role on the policy | Subscriber |
| Policy | B07M000314 |
| Date of birth | 13 Feb 1981 |
| Plan | GOLD PPO |
| Covered from | 1 Aug 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 |
|---|---|---|---|---|---|
| CLM0001353 | 28 Jul 2026 | 853.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 357.49 |
| CLM0001352 | 6 Jun 2025 | 81.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001351 | 13 Oct 2024 | 229.00 | MERIDIAN HEALTH PLAN | Not denied | — |