TOMAS ANDERSON
Dependent on policy B09M000886
Claims
1
Attributed to this person
Charged
605.00
Total submitted
Denied
191.59
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 | TOMAS ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000886 |
| Date of birth | 21 Aug 2007 |
| Plan | SILVER HMO |
| Covered from | 23 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003774 | 26 Apr 2026 | 605.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 191.59 |