SOFIA ANDERSON
Subscriber on policy B10M000364
Claims
2
Attributed to this person
Charged
632.00
Total submitted
Denied
632.00
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 | SOFIA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B10M000364 |
| Date of birth | 4 Aug 1971 |
| Plan | GOLD PPO |
| Covered from | 23 Jun 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 |
|---|---|---|---|---|---|
| CLM0001517 | 16 Mar 2026 | 91.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 91.00 |
| CLM0001516 | 15 Mar 2026 | 541.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 541.00 |