WENDY PATEL
Subscriber on policy B10M000011
Claims
3
Attributed to this person
Charged
1,049.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
126.20
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 | WENDY PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000011 |
| Date of birth | 18 Jul 1980 |
| Plan | GOLD PPO |
| Covered from | 13 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 126.20 |
| Total | 126.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000035 | 25 Jul 2026 | 322.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000037 | 9 Dec 2025 | 96.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000036 | 23 Jul 2025 | 631.00 | MERIDIAN HEALTH PLAN | Not denied | — |