LEILA JOHNSON
Subscriber on policy B09M000725
Claims
3
Attributed to this person
Charged
717.00
Total submitted
Denied
147.00
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 | LEILA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B09M000725 |
| Date of birth | 28 Oct 1951 |
| Plan | GOLD PPO |
| Covered from | 10 Jun 2025 |
| Covered to | 18 Mar 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003069 | 8 Mar 2026 | 150.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003070 | 16 Oct 2025 | 420.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003071 | 19 May 2025 | 147.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 147.00 |