LEILA PATEL
Dependent on policy B01M000191
Claims
3
Attributed to this person
Charged
866.00
Total submitted
Denied
376.56
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 PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000191 |
| Date of birth | 8 Jun 2010 |
| Plan | PLATINUM PPO |
| Covered from | 28 Jun 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 |
|---|---|---|---|---|---|
| CLM0000822 | 13 Jan 2026 | 204.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 204.00 |
| CLM0000820 | 19 Jul 2025 | 227.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000821 | 30 Apr 2025 | 435.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 172.56 |