CARLA PATEL
Dependent on policy B10M000011
Claims
3
Attributed to this person
Charged
1,431.00
Total submitted
Denied
376.00
1 denied claims
Patient responsibility
125.25
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 | CARLA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000011 |
| Date of birth | 29 Apr 1981 |
| Plan | GOLD PPO |
| Covered from | 13 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 125.25 |
| Total | 125.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000039 | 17 Apr 2026 | 220.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000038 | 15 Dec 2025 | 835.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000040 | 1 Feb 2025 | 376.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 376.00 |