CARLA USMAN
Dependent on policy B10M000263
Claims
2
Attributed to this person
Charged
596.00
Total submitted
Denied
596.00
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 | CARLA USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000263 |
| Date of birth | 14 Mar 1990 |
| Plan | GOLD PPO |
| Covered from | 6 May 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 |
|---|---|---|---|---|---|
| CLM0001083 | 22 Jun 2026 | 365.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 365.00 |
| CLM0001084 | 6 Apr 2025 | 231.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 231.00 |