GRACE JOHNSON
Subscriber on policy B08M000243
Claims
2
Attributed to this person
Charged
735.00
Total submitted
Denied
0.00
0 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 | GRACE JOHNSON |
| Role on the policy | Subscriber |
| Policy | B08M000243 |
| Date of birth | 23 Dec 1975 |
| Plan | SILVER HMO |
| Covered from | 26 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 |
|---|---|---|---|---|---|
| CLM0001093 | 19 Jan 2026 | 471.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001094 | 26 May 2025 | 264.00 | MERIDIAN HEALTH PLAN | Not denied | — |