DAVID PATEL
Subscriber on policy B09M000751
Claims
3
Attributed to this person
Charged
1,483.00
Total submitted
Denied
718.00
2 denied claims
Patient responsibility
114.75
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 | DAVID PATEL |
| Role on the policy | Subscriber |
| Policy | B09M000751 |
| Date of birth | 31 Jan 1950 |
| Plan | BRONZE EPO |
| Covered from | 12 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 114.75 |
| Total | 114.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003185 | 11 May 2026 | 283.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 283.00 |
| CLM0003186 | 4 Dec 2025 | 435.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 435.00 |
| CLM0003187 | 28 Mar 2025 | 765.00 | MERIDIAN HEALTH PLAN | Not denied | — |