HENRY LOPEZ
Dependent on policy B10M000481
Claims
1
Attributed to this person
Charged
314.00
Total submitted
Denied
0.00
0 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 | HENRY LOPEZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000481 |
| Date of birth | 24 Dec 1995 |
| Plan | GOLD PPO |
| Covered from | 8 Apr 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 |
|---|---|---|---|---|---|
| CLM0002001 | 11 Sep 2025 | 314.00 | MERIDIAN HEALTH PLAN | Not denied | — |