BRIAN JOHNSON
Subscriber on policy B09M000155
Claims
1
Attributed to this person
Charged
470.00
Total submitted
Denied
470.00
1 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 | BRIAN JOHNSON |
| Role on the policy | Subscriber |
| Policy | B09M000155 |
| Date of birth | 7 Oct 1966 |
| Plan | BRONZE EPO |
| Covered from | 7 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000653 | 26 Jan 2025 | 470.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 470.00 |