VICTOR PATEL
Subscriber on policy B09M000809
Claims
2
Attributed to this person
Charged
987.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
40.00
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 | VICTOR PATEL |
| Role on the policy | Subscriber |
| Policy | B09M000809 |
| Date of birth | 26 Jun 1997 |
| Plan | GOLD PPO |
| Covered from | 1 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 40.00 |
| Total | 40.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003437 | 24 Jun 2026 | 369.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003438 | 3 Feb 2026 | 618.00 | MERIDIAN HEALTH PLAN | Not denied | — |