ZARA ANDERSON
Dependent on policy B09M000731
Claims
1
Attributed to this person
Charged
551.00
Total submitted
Denied
551.00
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 | ZARA ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000731 |
| Date of birth | 31 Jan 1985 |
| Plan | GOLD PPO |
| Covered from | 31 May 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 |
|---|---|---|---|---|---|
| CLM0003092 | 3 May 2025 | 551.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 551.00 |