AMARA PATEL
Subscriber on policy B09M000145
Claims
3
Attributed to this person
Charged
1,601.00
Total submitted
Denied
957.08
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 | AMARA PATEL |
| Role on the policy | Subscriber |
| Policy | B09M000145 |
| Date of birth | 24 Nov 1960 |
| Plan | PLATINUM PPO |
| Covered from | 19 May 2024 |
| Covered to | 26 Jan 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 |
|---|---|---|---|---|---|
| CLM0000610 | 24 Nov 2024 | 88.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000612 | 1 Oct 2024 | 807.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 807.00 |
| CLM0000611 | 24 Sep 2024 | 706.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 150.08 |