HENRY JOHNSON
Dependent on policy B08M000836
Claims
3
Attributed to this person
Charged
581.00
Total submitted
Denied
211.00
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 | HENRY JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000836 |
| Date of birth | 6 Mar 1971 |
| Plan | PLATINUM PPO |
| Covered from | 4 Nov 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 |
|---|---|---|---|---|---|
| CLM0003731 | 5 Aug 2026 | 370.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003729 | 30 Dec 2025 | 63.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 63.00 |
| CLM0003730 | 7 Jan 2025 | 148.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 148.00 |