CARLA ANDERSON
Subscriber on policy B08M000241
Claims
3
Attributed to this person
Charged
1,176.00
Total submitted
Denied
640.00
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 | CARLA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B08M000241 |
| Date of birth | 16 Dec 1974 |
| Plan | GOLD PPO |
| Covered from | 21 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 |
|---|---|---|---|---|---|
| CLM0001083 | 5 Jun 2025 | 439.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001082 | 28 Dec 2024 | 97.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001084 | 23 Oct 2024 | 640.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 640.00 |