GRACE JOHNSON
Subscriber on policy B08M000275
Claims
2
Attributed to this person
Charged
899.00
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 | B08M000275 |
| Date of birth | 25 Feb 1968 |
| Plan | SILVER HMO |
| Covered from | 25 May 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 |
|---|---|---|---|---|---|
| CLM0001249 | 26 Apr 2025 | 161.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001250 | 4 Nov 2024 | 738.00 | MERIDIAN HEALTH PLAN | Not denied | — |