FIONA GARCIA
Dependent on policy B07M000781
Claims
1
Attributed to this person
Charged
662.00
Total submitted
Denied
662.00
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 | FIONA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000781 |
| Date of birth | 29 Apr 1966 |
| Plan | PLATINUM PPO |
| Covered from | 15 Jul 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 |
|---|---|---|---|---|---|
| CLM0003226 | 2 Jul 2026 | 662.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 662.00 |