HENRY CHEN
Dependent on policy B08M000365
Claims
3
Attributed to this person
Charged
822.00
Total submitted
Denied
291.00
1 denied claims
Patient responsibility
22.35
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 | HENRY CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000365 |
| Date of birth | 2 Dec 1982 |
| Plan | BRONZE EPO |
| Covered from | 18 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 22.35 |
| Total | 22.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001667 | 24 Sep 2025 | 291.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 291.00 |
| CLM0001668 | 29 Apr 2025 | 149.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001666 | 10 Jan 2025 | 382.00 | MERIDIAN HEALTH PLAN | Not denied | — |