HENRY PATEL
Subscriber on policy B07M000517
Claims
3
Attributed to this person
Charged
947.00
Total submitted
Denied
221.00
1 denied claims
Patient responsibility
91.60
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 PATEL |
| Role on the policy | Subscriber |
| Policy | B07M000517 |
| Date of birth | 4 Mar 1983 |
| Plan | GOLD PPO |
| Covered from | 6 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 91.60 |
| Total | 91.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002211 | 8 Feb 2026 | 458.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002212 | 24 Jun 2025 | 268.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002210 | 22 Jan 2025 | 221.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 221.00 |