OMAR JOHNSON
Subscriber on policy B07M000643
Claims
2
Attributed to this person
Charged
833.00
Total submitted
Denied
833.00
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 | OMAR JOHNSON |
| Role on the policy | Subscriber |
| Policy | B07M000643 |
| Date of birth | 25 Dec 1963 |
| Plan | BRONZE EPO |
| Covered from | 8 May 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 |
|---|---|---|---|---|---|
| CLM0002687 | 28 Feb 2025 | 251.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 251.00 |
| CLM0002686 | 24 Apr 2024 | 582.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 582.00 |