TOMAS USMAN
Subscriber on policy B08M000591
Claims
3
Attributed to this person
Charged
1,604.00
Total submitted
Denied
1,379.00
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 | TOMAS USMAN |
| Role on the policy | Subscriber |
| Policy | B08M000591 |
| Date of birth | 22 Mar 1987 |
| Plan | PLATINUM PPO |
| Covered from | 29 Mar 2025 |
| Covered to | 29 Dec 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 |
|---|---|---|---|---|---|
| CLM0002695 | 4 Jan 2026 | 630.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 630.00 |
| CLM0002694 | 5 Dec 2025 | 225.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002693 | 17 May 2025 | 749.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 749.00 |