LEILA ANDERSON
Subscriber on policy B08M000877
Claims
3
Attributed to this person
Charged
814.00
Total submitted
Denied
598.83
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 | LEILA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B08M000877 |
| Date of birth | 25 Apr 1974 |
| Plan | GOLD PPO |
| Covered from | 3 Mar 2024 |
| Covered to | 10 Sep 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003918 | 24 May 2024 | 110.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003917 | 13 May 2024 | 132.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 26.83 |
| CLM0003919 | 27 Feb 2024 | 572.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 572.00 |