WENDY USMAN
Subscriber on policy B10M000119
Claims
2
Attributed to this person
Charged
935.00
Total submitted
Denied
612.05
2 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 | WENDY USMAN |
| Role on the policy | Subscriber |
| Policy | B10M000119 |
| Date of birth | 28 Mar 1995 |
| Plan | BRONZE EPO |
| Covered from | 15 Dec 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000499 | 19 Jul 2025 | 543.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 220.05 |
| CLM0000498 | 3 Apr 2025 | 392.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 392.00 |