WENDY PATEL
Subscriber on policy B08M000278
Claims
3
Attributed to this person
Charged
861.00
Total submitted
Denied
68.00
1 denied claims
Patient responsibility
15.00
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 | WENDY PATEL |
| Role on the policy | Subscriber |
| Policy | B08M000278 |
| Date of birth | 14 Jul 1993 |
| Plan | SILVER HMO |
| Covered from | 5 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001262 | 11 Oct 2025 | 380.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001264 | 19 Mar 2025 | 68.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 68.00 |
| CLM0001263 | 24 Feb 2025 | 413.00 | MERIDIAN HEALTH PLAN | Not denied | — |