TOMAS ANDERSON
Subscriber on policy B10M000392
Claims
2
Attributed to this person
Charged
970.00
Total submitted
Denied
262.00
1 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 | TOMAS ANDERSON |
| Role on the policy | Subscriber |
| Policy | B10M000392 |
| Date of birth | 21 Sep 1984 |
| Plan | GOLD PPO |
| Covered from | 25 Mar 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 |
|---|---|---|---|---|---|
| CLM0001628 | 8 Apr 2025 | 708.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001627 | 3 Mar 2024 | 262.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 262.00 |