JULIA ANDERSON
Subscriber on policy B07M000778
Claims
3
Attributed to this person
Charged
805.00
Total submitted
Denied
453.00
2 denied claims
Patient responsibility
52.80
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 ANDERSON |
| Role on the policy | Subscriber |
| Policy | B07M000778 |
| Date of birth | 3 Nov 1961 |
| Plan | SILVER HMO |
| Covered from | 18 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 52.80 |
| Total | 52.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003217 | 26 Mar 2025 | 352.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003216 | 25 Aug 2024 | 226.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 226.00 |
| CLM0003215 | 21 May 2024 | 227.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 227.00 |