LEILA CHEN
Dependent on policy B07M000464
Claims
2
Attributed to this person
Charged
651.00
Total submitted
Denied
651.00
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 | LEILA CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000464 |
| Date of birth | 1 Jan 1991 |
| Plan | SILVER HMO |
| Covered from | 1 Sep 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 |
|---|---|---|---|---|---|
| CLM0001960 | 22 Nov 2025 | 250.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 250.00 |
| CLM0001959 | 5 Jun 2025 | 401.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 401.00 |