UMA GARCIA
Subscriber on policy B09M000529
Claims
3
Attributed to this person
Charged
1,308.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
13.50
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 | UMA GARCIA |
| Role on the policy | Subscriber |
| Policy | B09M000529 |
| Date of birth | 4 Dec 1990 |
| Plan | SILVER HMO |
| Covered from | 28 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 13.50 |
| Total | 13.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002226 | 5 Jun 2026 | 90.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002227 | 27 Sep 2025 | 526.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002225 | 2 May 2025 | 692.00 | MERIDIAN HEALTH PLAN | Not denied | — |