BRIAN LOPEZ
Subscriber on policy B07M000531
Claims
2
Attributed to this person
Charged
614.00
Total submitted
Denied
308.00
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 | BRIAN LOPEZ |
| Role on the policy | Subscriber |
| Policy | B07M000531 |
| Date of birth | 6 Jun 1974 |
| Plan | BRONZE EPO |
| Covered from | 3 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002263 | 13 Mar 2026 | 308.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 308.00 |
| CLM0002264 | 22 Jul 2025 | 306.00 | MERIDIAN HEALTH PLAN | Not denied | — |