IVAN PATEL
Dependent on policy B08M000444
Claims
3
Attributed to this person
Charged
1,559.00
Total submitted
Denied
550.00
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 | IVAN PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000444 |
| Date of birth | 2 Nov 2017 |
| Plan | SILVER HMO |
| Covered from | 10 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002037 | 22 May 2026 | 370.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002036 | 5 Jul 2025 | 550.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 550.00 |
| CLM0002038 | 15 May 2025 | 639.00 | MERIDIAN HEALTH PLAN | Not denied | — |