LEILA PATEL
Subscriber on policy B08M000272
Claims
1
Attributed to this person
Charged
266.00
Total submitted
Denied
266.00
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 | LEILA PATEL |
| Role on the policy | Subscriber |
| Policy | B08M000272 |
| Date of birth | 13 Nov 1975 |
| Plan | GOLD PPO |
| Covered from | 28 Jul 2024 |
| Covered to | 9 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001236 | 2 Apr 2025 | 266.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 266.00 |