YUSUF ANDERSON
Dependent on policy B08M000413
Claims
3
Attributed to this person
Charged
541.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
48.60
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 | YUSUF ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000413 |
| Date of birth | 16 Dec 1987 |
| Plan | PLATINUM PPO |
| Covered from | 2 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 48.60 |
| Total | 48.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001905 | 3 Jul 2026 | 67.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001904 | 7 Sep 2024 | 150.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001906 | 29 Aug 2024 | 324.00 | MERIDIAN HEALTH PLAN | Not denied | — |