BRIAN PATEL
Dependent on policy B09M000715
Claims
3
Attributed to this person
Charged
1,274.00
Total submitted
Denied
767.00
2 denied claims
Patient responsibility
100.10
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 | BRIAN PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000715 |
| Date of birth | 18 Dec 1955 |
| Plan | BRONZE EPO |
| Covered from | 26 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 100.10 |
| Total | 100.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003032 | 1 Jun 2026 | 353.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003031 | 10 Jul 2025 | 154.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003033 | 26 May 2025 | 767.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 767.00 |