LEILA ANDERSON
Subscriber on policy B08M000198
Claims
3
Attributed to this person
Charged
864.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
28.60
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 | LEILA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B08M000198 |
| Date of birth | 27 Jun 1956 |
| Plan | GOLD PPO |
| Covered from | 15 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 28.60 |
| Total | 28.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000882 | 7 Aug 2026 | 143.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000881 | 16 Nov 2025 | 381.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000880 | 4 Nov 2025 | 340.00 | MERIDIAN HEALTH PLAN | Not denied | — |