ZARA ANDERSON
Dependent on policy B07M000805
Claims
1
Attributed to this person
Charged
144.00
Total submitted
Denied
30.82
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 | ZARA ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000805 |
| Date of birth | 4 Mar 1996 |
| Plan | BRONZE EPO |
| Covered from | 9 Apr 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 |
|---|---|---|---|---|---|
| CLM0003321 | 24 Apr 2025 | 144.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 30.82 |