DAVID PATEL
Dependent on policy B08M000144
Claims
3
Attributed to this person
Charged
991.00
Total submitted
Denied
276.80
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 | DAVID PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000144 |
| Date of birth | 22 Aug 1980 |
| Plan | BRONZE EPO |
| Covered from | 19 Mar 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 |
|---|---|---|---|---|---|
| CLM0000659 | 26 Jun 2026 | 213.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 213.00 |
| CLM0000657 | 13 Nov 2025 | 172.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 63.80 |
| CLM0000658 | 8 Jun 2025 | 606.00 | MERIDIAN HEALTH PLAN | Not denied | — |