IVAN GARCIA
Subscriber on policy B09M000173
Claims
3
Attributed to this person
Charged
1,244.00
Total submitted
Denied
498.00
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 | IVAN GARCIA |
| Role on the policy | Subscriber |
| Policy | B09M000173 |
| Date of birth | 16 Dec 1998 |
| Plan | GOLD PPO |
| Covered from | 3 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 |
|---|---|---|---|---|---|
| CLM0000724 | 5 Sep 2025 | 498.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 498.00 |
| CLM0000722 | 4 Jul 2025 | 151.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000723 | 28 Nov 2024 | 595.00 | MERIDIAN HEALTH PLAN | Not denied | — |