UMA JOHNSON
Subscriber on policy B07M000406
Claims
2
Attributed to this person
Charged
1,558.00
Total submitted
Denied
716.00
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 | UMA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B07M000406 |
| Date of birth | 10 May 1985 |
| Plan | SILVER HMO |
| Covered from | 8 Feb 2024 |
| Covered to | 5 Jun 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001723 | 18 May 2024 | 716.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 716.00 |
| CLM0001722 | 1 May 2024 | 842.00 | MERIDIAN HEALTH PLAN | Not denied | — |