IVAN PATEL
Dependent on policy B09M000320
Claims
2
Attributed to this person
Charged
1,382.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
116.10
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 PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000320 |
| Date of birth | 21 Jun 1987 |
| Plan | SILVER HMO |
| Covered from | 6 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 116.10 |
| Total | 116.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001322 | 8 Apr 2026 | 774.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001321 | 13 Mar 2025 | 608.00 | MERIDIAN HEALTH PLAN | Not denied | — |