JULIA GARCIA
Dependent on policy B07M000654
Claims
3
Attributed to this person
Charged
1,034.00
Total submitted
Denied
588.00
2 denied claims
Patient responsibility
154.70
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 | JULIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000654 |
| Date of birth | 19 Aug 1998 |
| Plan | GOLD PPO |
| Covered from | 21 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 154.70 |
| Total | 154.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002727 | 15 Dec 2025 | 208.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002725 | 23 Nov 2024 | 588.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 588.00 |
| CLM0002726 | 30 Sep 2024 | 238.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |