MARCUS PATEL
Dependent on policy B08M000450
Claims
3
Attributed to this person
Charged
1,481.00
Total submitted
Denied
736.86
2 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 | MARCUS PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000450 |
| Date of birth | 24 Nov 1985 |
| Plan | BRONZE EPO |
| Covered from | 5 Sep 2024 |
| Covered to | 23 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002080 | 27 Dec 2024 | 557.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 557.00 |
| CLM0002078 | 31 Oct 2024 | 396.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002079 | 7 Sep 2024 | 528.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 179.86 |