SOFIA PATEL
Dependent on policy B08M000179
Claims
2
Attributed to this person
Charged
687.00
Total submitted
Denied
195.00
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 | SOFIA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000179 |
| Date of birth | 18 Jan 1998 |
| Plan | BRONZE EPO |
| Covered from | 17 Aug 2024 |
| Covered to | 26 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000806 | 1 Oct 2024 | 492.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000805 | 27 Jul 2024 | 195.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 195.00 |