YUSUF PATEL
Dependent on policy B08M000528
Claims
3
Attributed to this person
Charged
2,077.00
Total submitted
Denied
636.00
2 denied claims
Patient responsibility
623.65
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 PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000528 |
| Date of birth | 1 Oct 1970 |
| Plan | GOLD PPO |
| Covered from | 20 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 529.75 |
| CARC 1 · Deductible | 1 | 93.90 |
| Total | 623.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002408 | 27 Mar 2026 | 626.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002410 | 12 Apr 2025 | 636.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 636.00 |
| CLM0002409 | 18 Feb 2025 | 815.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |