HENRY GARCIA
Subscriber on policy B08M000438
Claims
1
Attributed to this person
Charged
86.00
Total submitted
Denied
86.00
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 | HENRY GARCIA |
| Role on the policy | Subscriber |
| Policy | B08M000438 |
| Date of birth | 5 Nov 1997 |
| Plan | PLATINUM PPO |
| Covered from | 8 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002012 | 26 Mar 2026 | 86.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 86.00 |