DAVID PATEL
Subscriber on policy B08M000705
Claims
3
Attributed to this person
Charged
1,692.00
Total submitted
Denied
677.60
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 | DAVID PATEL |
| Role on the policy | Subscriber |
| Policy | B08M000705 |
| Date of birth | 25 Feb 1967 |
| Plan | PLATINUM PPO |
| Covered from | 6 Feb 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003173 | 12 Jun 2025 | 561.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 561.00 |
| CLM0003174 | 11 Feb 2025 | 845.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003172 | 14 Nov 2024 | 286.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 116.60 |