OMAR CHEN
Dependent on policy B10M000132
Claims
3
Attributed to this person
Charged
1,335.00
Total submitted
Denied
306.25
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 | OMAR CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000132 |
| Date of birth | 28 Jan 2005 |
| Plan | SILVER HMO |
| Covered from | 12 Jan 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 |
|---|---|---|---|---|---|
| CLM0000546 | 29 Jan 2026 | 294.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 294.00 |
| CLM0000547 | 18 Apr 2025 | 609.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 12.25 |
| CLM0000548 | 17 Mar 2025 | 432.00 | MERIDIAN HEALTH PLAN | Not denied | — |